Republic of the Philippines)
Province of Surigao del Sur) s.s.
Municipality of Tago)
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JOINT AFFIDAVIT OF DELAYED REGISTRATION
OF BIRTH BY TWO DISINTERESTED PERSONS
WE, ANALYN BAGNOL ROBILLOS and MARIA JOVENA VIBAL
BANDOY, both Filipinos, of legal age and residents of Barangay Victoria, Tago,
Surigao del Sur, after having been duly sworn to in accordance with law, depose
and state:
1. That we personally know MARISSA BARGAMENTO CASTILLO,
she being our close friend and neighbour;
2. That we have personal knowledge that MARISSA BARGAMENTO
CASTILLO was born on March 20, 1987 to spouses SAMUEL CLARIT CASTILLO
and LUCINA BARGAMENTO CASTILLO at Barangay Victoria Tago, Surigao del
Sur;
3. That the birth of MARISSA BARGAMENTO CASTILLO was
attended to by a local hilot, of Barangay Victoria, Tago, Surigao del Sur;
4. That the said birth was not registered within thirty (30) days
therefrom with the Local Civil Registrar of Tago, Surigao del Sur due to the
negligence of the said hilot and to date, it remains unregistered; and
5. That we are executing this Affidavit to attest the veracity of the
foregoing and in compliance with the requirements of the Local Civil Registrar of
the Municipality of Tago, Surigao del Sur, relative to the application for delayed
registration of the birth of MARISSA BARGAMENTO CASTILLO and for other
legal purposes.
IN WITNESS WHEREOF, we affix hereunto our signatures this 29 th day of
March, 2017 at Tago, Surigao del Sur, Philippines.
ANALYN BAGNOL ROBILLOS MARIA JOVENA VIBAL BANDOY
Affiant Affiant
VIN: 6818-0105ABR20000 VIN: 6818-0110A-C0272MVB20000
SUBSCRIBED AND SWORN TO before me this 29th day of March, 2017
at Tago, Surigao del Sur, Philippines. Affiants exhibited to me their competent
evidence of identities.