AFFIDAVIT IN LIEU OF CERTIFICATE OF
LEGAL CAPACITY TO CONTRACT MARRIAGE
REPUBLIC OF THE PHILIPPINES)
PROVINCE OF __________ : S.S.
MUNICIPALITY OF ______ )
BEFORE ME, a Notary Public for and in the Municipality of
_____, Province of __________, Philippines, personally came and
appeared the undersigned who, being duly sworn, states:
THAT—
1. My name is __________ of legal age, and I am a citizen of
_____;
2. I hold a __________ Passport with No. __________, issued on
__________, issued at __________;
3. I am a legal resident of ____________________;
4. My address while in the Philippines is
____________________, Philippines;
5. __✔__ I have never been married; OR
_____ I have been married _____ times previously. All previous
marriages have been legally terminated.
________________________
Passport No. __________
Valid Until: __________
Issued at: __________
SUBSCRIBED AND SWORN to before me this __________ in
the Municipality of __________, Province of __________,
Philippines.
WITNESS MY HAND AND SEAL.
Doc. No. _____;
Page No. _____;
Book No. ____;
Series of 2022.
AFFIDAVIT IN LIEU OF CERTIFICATE OF
LEGAL CAPACITY TO CONTRACT MARRIAGE
REPUBLIC OF THE PHILIPPINES)
PROVINCE OF TARLAC : S.S.
MUNICIPALITY OF BAMBAN )
BEFORE ME, a Notary Public for and in the Municipality of
Bamban, Province of Tarlac, Philippines, personally came and appeared the
undersigned who, being duly sworn, states:
THAT—
6. My name is OOLAGANADEN VEEREN of legal age, and I am a
citizen of Mauritius;
7. I hold a Mauritius Passport with No. 1477847, issued on November
03, 2015, issued at Passport Office, Mauritius;
8. I am a legal resident of Edwin Candasamy Road, St. Julien
D’Hotman, Medine Camp de Masque, Republic of Mauritius;
9. My address while in the Philippines is No. 115 Apartment 2, Brgy. San
Roque, Rizal Avenue, Bamban 2317, Tarlac, Philippines;
10. __✔__ I have never been married; OR
_____ I have been married _____ times previously. All previous
marriages have been legally terminated.
________________________
OOLAGANADEN VEEREN
Passport No. 1477847
Valid Until: 02 NOV 2025
Issued at: Passport Office, Repub. of Mauritius
SUBSCRIBED AND SWORN to before me this 06th day of April
2022 in the Municipality of Bamban, Province of Tarlac, Philippines.
WITNESS MY HAND AND SEAL.
ATTY. ARNALDO P. DIZON
Roll No. 20706
Notary Public-Province of Tarlac
My Commission Expires December 31, 2022
PTR No. 2127176, 01-03-22, Bamban, Tarlac
Doc. No. 447; IBP O.R. No. 171987, 01-04-22, Tarlac Chapter
Page No. 91; MCLE No.VI-0023575, valid until April 24, 2022
Book No. 24;
Series of 2022.