You are on page 1of 2

REPUBLIC OF THE PHILIPPINES )

PROVINCE OF DAVAO DEL SUR )


CITY OF DAVAO ) S.S.

AFFIDAVIT OF SUPPORT

We, spouses RICHARD O. GOMEZ and LUCY T. GOMEZ, both of legal


age, Filipino citizens, and residing at 50-2 Damaso Suazo Street, Davao City,
after having been duly sworn to in accordance with law, do hereby depose and
state;

1. That we are the legitimate parents of JULIANA T. GOMEZ, who is 17


years of age;

2. That the above-named daughter will be traveling to South Korea on


February 14, 2019 for about a month-long vacation with our sister and
her aunt, IMELDA G. PAPIN, who resides at 434 Sunset Boulevard,
Miami, Florida;

3. That since our said daughter is travelling alone and is still a minor, we
hereby give our consent freely and voluntarily for her to travel to the
United States on said date;

IN WITNESS WHEREOF, I have hereunto set my hand this 12th day of


January 2019 at Davao City, Philippines.

___________________ ___________________
RICHARD O. GOMEZ LUCY T. GOMEZ
Father Mother
PRC ID No. 2409 PRC ID No. 2401
Issued On.02-07-2017 Issued On. 01-05-2017
Issued by: PRC Davao City Issued by: PRC Davao City

SUBSCRIBED AND SWORN to before me this 12th day of January 2019


at Davao City, Philippines.

THERESE ANNE S. CANDOLITA


NOTARY PUBLIC
Until December 31, 2022
PTR No. 888705/01-7-18/DC
Doc. No. ___; IBP OR No. 022899, Lifetime
Page No. ___; Roll No. 78901
Book No. ___; MCLE Compliance Certificate No.V-
Series of 2019. 0007783, Davao City

Page 1 of 1
REPUBLIC OF THE PHILIPPINES )
PROVINCE OF DAVAO DEL SUR )
CITY OF DAVAO ) S.S.

AFFIDAVIT OF LOSS

I, PIOLO P. PASCUAL, of legal age, Filipino, single and a resident of 67


2nd Avenue, Alpha Executive Homes, Matina Aplaya, Davao City, after having
been duly sworn to in accordance with law, do hereby depose and state;

1. That I am a duly-licensed driver in accordance with pertinent Land


Transportation laws, rules and regulations, and was issued a
corresponding Professional Driver's License with number L02-09-
006768 which is valid until 13 August 2022;

2. That sometime on December 21, 2018, said driver's license was


misplaced and lost;

3. That efforts were exerted to locate said driver's license, but in spite
of diligent search, it could not be found and the same is now beyond
recovery;

4. That said Driver's License has not been confiscated by the LTO, Police
or other Traffic Enforcers for any traffic violation;

5. That as such, I am executing this Affidavit of Loss to attest to the truth


of the foregoing and to support my application for the issuance of a
new Professional Driver's License, in lieu of the one that was lost;

IN WITNESS WHEREOF, I have hereunto set my hand this 12th day of


January 2019 at Davao City, Philippines.

___________________
PIOLO P. PASCUAL
PRC ID No. 3406
Issued On 02-07-2018
Issued by: PRC Davao City

SUBCRIBED AND SWORN TO before me this 12th day of January 2019


at Davao City, Philippines, affiant exhibiting to me his competent evidence of
identity by way of PRC ID No. 3406 issued at Davao City on 7 February 2018.

THERESE ANNE S. CANDOLITA


NOTARY PUBLIC
Until December 31, 2022
Doc. No. ___; PTR No. 888705/01-7-18/DC
Page No. ___; IBP OR No. 022899, Lifetime
Book No. ___; Roll No. 78901
Series of 2019. MCLE Compliance Certificate No.V-
0007783, Davao City

Page 1 of 1

You might also like