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Republic of the Philippines)

City of _________ ) s.s.



I, _____________, of legal age, Filipino citizen, married and with residence and postal
address at ____________, after having been duly sworn in accordance with law do hereby
depose and say:

That I am the true and absolute owner of four (4) fishing vessels which I am
applying for their registration under my name, to wit:
That I hereby warrant title and ownership over the above-mentioned fishing vessels,
and attached are machine copies of the Affidavits of Builders as Annexes “A” and “B”;

That I am executing this Affidavit to attest to the truth of the forgoing facts for any
legal purposes.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ______ day of

May 2019 at ____________________, Philippines.


SUBSCRIBED AND SWORN to before me this __________________ at

Zamboanga City, Philippines, affiant exhibited himself to me his valid ID bearing his
photograph and genuine signature as competent proof of his identity pursuant to the 2004
Rules on Notarial Practice.