REPUBLIC OF THE PHILIPPINES)

DAVAO CITY )SS.

x---------------------------------------------x

AFFIDAVIT OF SOLO PARENT

I, JOSEPHINE N. GABUNI, of legal age, Filii!o, "a##ie$ a!$ a
#e%i$e!& of P'#o( )* S&. Pe&e# S&., C#o%%i!g Ba+a,a%, To#il, Da-ao Ci&+, af&e#
.a-i!g ,ee! %/o#! &o i! a00o#$a!0e /i&. la/, .e#e,+ $eo%e a!$ %a+ &.a&1

). I a" &.e "o&.e# of Bli%% N. 2a,'!i /.o i% !o/ al+i!g fo# a
%0.ola#%.i '!$e# &.e CHED S&'$e!& Fi!a!0ial A%%i%&a!0e P#og#a"%3
4. "+ .'%,a!$ a!$ I .a-e lo!g ,ee! %ea#a&e$ i! fa0&3
*. $'e &o o'# %ea#a&io!, I a" lef& alone with the responsibility of parenthood for
several years already;
5. I a" exe0'&i!g &.i% a6$a-i& &o a&&e%& &.e &#'&. of all &.e fo#egoi!g a!$
&o %'o#& &.e ali0a&io! of "+ $a'g.&e# fo# CHED S&'$e!& Fi!a!0ial
A%%i%&a!0e P#og#a"%.

IN 7ITNESS 7HEREOF, I .a-e .e#e'!&o %e& "+ .a!$ &.i% 88888 $a+ of
888888888888888 49)5, i! &.e Ci&+ of Da-ao, P.ilii!e%.



JOSEPHINE N. GABUNI
A6a!&

TIN ):)-;)*-5<9


SUBSCRIBED a!$ %/o#! &o ,efo#e "e, i! &.e Ci&+ of Da-ao, &.i%
8888888888888$a+ of 88888888888888 49)5, a6a!& ex.i,i&i!g &o "e .e# -ali$
#oof of i$e!&i=0a&io!.



Do0. No. 8888
Page No. 8888
Boo( No. 8888
Se#ie% of 49)5