Vous êtes sur la page 1sur 3

Republic of the Philippines)

City of Davao. . . . . . . . . . .)S.S.


X- - - - - - - - - - - - - - - - - - - -X

AFFIDAVIT OF AUTHORITY
I, DONATA A. PAGUTE, of legal age, Filipino and resident of J. Palma Gil St.,
Davao City, Philippines, after having been duly sworn to in accordance with law, do
hereby depose and say:
That GRACE D. TABONGAR is the registered owner of a certain building
located at J. Palma Gil St., Davao City;
That GRACE D. TABONGAR is giving authority to me to occupy her building;
That I am executing this affidavit to attest to the truth of the foregoing statements
and for whatever legal purpose this may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this _____ day of
________________, at Davao City, Philippines.

DONATA A. PAGUTE
Affiant
SUBSCRIBED AND SWORN to before
_________________, at Davao City, Philippines.

me

this

______

day

of

Republic of the Philippines)


City of Davao. . . . . . . . . . .)S.S.
X- - - - - - - - - - - - - - - - - - - -X
AFFIDAVIT OF PARENTAL CONSENT/AUTHORITY
We the spouses, MELECIO R. LEPARDO and DEOGRACIA C. LEPARDO,
both of legal ages, Filipinos and residents of Davao City, Philippines, after having been
duly sworn to in accordance with law, do hereby depose and say:
That we are the parents of MEL-ANTHONY C. LEPARDO, who was born on
November 6, 1969 at Norte Dame Hospital, Cotabato City;

That we hereby declare upon our honor that we are giving our consent/authority
to our son to use his name MEL-ANTHONY C. LEPARDO with dash (-);
That we executing this affidavit to attest to the truth of the foregoing statements
and for whatever legal purpose this may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this _____ day of
________________, at Davao City, Philippines.

MELECIO R. LEPARDO
Affiant

DEOGRACIA C. LEPARDO
Affiant

SUBSCRIBED AND SWORN to before


_________________, at Davao City, Philippines.

me

this

______

day

of

Republic of the Philippines)


City of Davao. . . . . . . . . . .)S.S.
X- - - - - - - - - - - - - - - - - - - -X

PERSONAL AFFIDAVIT
I, MARIE ANNE FERRANDO DELA CRUZ-PIDO, of legal age, Filipino and
resident of Brgy. Central, Tarragona, Davao Oriental, Philippines, after having been duly
sworn to in accordance with law, do hereby depose and say:
That I was born on February 22, 1965 at Holy Cross, Manay, Davao Oriental to
spouses Tirso Dela Cruz and Purificacion Ferrando both deceased;
That it appears on my Certificate of Live Birth duly issued in the National
Statistic Office (NSO) my first name appears MARIE ANNE and also my date of birth it
appears February 22, 1965 while on Professional Regulation Commission my first name
was entered MARY ANN and also my date of birth was entered February 4, 1965;
That since in my grade school I am using my First Name as MARY ANN and
Date of Birth as February 4, 1965 until I became a teacher because my mother told me
that my first name is Mary Ann and my date of birth is February 4, 1965;
That I did not correct my name after taking the examination because I did not
notice and I recently knew and get my authenticated birth certificate in the National
Statistics Office (NSO) and due to negligence the correction of my first name and date of
birth was lapse.
That I am executing this affidavit to attest to the truth of the foregoing statements
and to inform the Philippine Regulatory Commission and for whatever legal purpose this
may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this _____ day of
________________, at Davao City, Philippines.

MARIE ANNE FERRANDO DELA CRUZ-PIDO


Affiant
SUBSCRIBED AND SWORN to before
_________________, at Davao City, Philippines.

me

this

______

day

of

Vous aimerez peut-être aussi