Republic of the Philippines)

Province of Camarines Sur) s.s.

Municipality of Nabua )
JOINT AFFIDAVIT OF TWO (2 DISINTERESTED PERSONS
We, PONCIANO SABAS, 88 years old, and PURIFICACION SOTO, 8 years old, both
!ilipinos, and residents of "napatan, Nabua, Camarines Sur, Philippines after havin# been duly s$orn to in
accordance $ith la$, depose and say%
&. 'hat $e personally (no$ the person VISITACION MABANSAY JUNIO, bein# the
le#itimate dau#hter of the late spouses )uan '. )unio and )ustina *. Mabansay+
,. 'hat $e also (no$ that the said Visitacion Mabansay Jnio! "#o "as bo$n on Ma$c# %&!
%'(% at Ina)atan! Naba! Ca*a$in+s S$! P#i,i))in+s-
-. 'hat $e personally a$are and (no$led#eable of birth of said .isitacion Mabansay )unio , for
the rason that $e are close ac/uaintances of the above0named person and as a matter of truth
and fact $e ma(in# us privy to some family events+
1. 'hat $e are not parties0in0interset $ith he said person since $e are not related by affinity or
consan#uinity+
2. 'hat $e are e3ecutin# this affidavit to attest to the truth thereof $ithout receivin# any
material and re$ard or a promise to receive the same but rather to establish the 4ate 5 Place
of 6irth of VISITACION MABANSAY JUNIO , in connection of delayed re#istration $ith
the 7ffice of the Civil Re#istrar, Nabua, Camarines sur, Philippines, and for all le#al intents
and purposes it may serve.
"N W"'N8SS W98R87! , $e have hereunto set pur hands this &
th
day of May, ,:&1, Nabua,
Camarines sur, Philippines.
;;;;;;;;;;;;;;;;;;; ;;;;;;;;;;;;;;;;;;;;;
PONCIANO SABAS PURIFICACION SOTO
A..iant A..iant
ID No/ 0000000000000 ID NO/ 00000000000000
Iss+1 at 0000000000 Iss+1 at 00000000000
S<6SCR"684 =N4 SW7RN to before me this ;;;; day of May, ,:&1, at Nabua,
Camarines Sur, Philippines, by the affianst (no$n to me and to me (no$n to be the same persons
$ho personally e3ecuted and si#ned the fore#oin# affidavit and personally ac(no$led#ed before
me that the same are their free and voluntary act and deed and " hereby certify that " have
personally e3amined the affiant and " am satisfied that they voluntarily e3ecuted and understood
the fore#oin# affidavit.
4oc. No. ;;;;;;;;+ ROMEO BE2MONTE ABACA! JR/
Pa#e No. ;;;;;;;;+ N7'=R> P<6?"C
6oo( No. @"" + <ntil 4ecember -&, ,:&1
Series of ,:&1+ P'R N7. 2-2&A&08 &BAB&1
"6P N7. 88A:-, &,BB&,
Roll of =ttorney No. 2,1-
Republic of the Philippines)
Province of Camarines Sur) s.s.
Municipality of Nabua )
AFFIDAVIT OF LOSS
I, ROY CHRISTOPHER DEMESA Y UVERO,36 years ol, marrie, resient of
!aran"ay #oures $l, Nabua, Camarines Sur, after havin" been uly s%orn to in accorance
%ith la%, epose an say&
'. (hat I am the holer)o%ner of the follo%in" items, to %it&
a. Php *++.++ , cash
b. -(M Car .-/!)
c. Professional 0river1s #icense
. Importants ocuments
2. (hat on or about 3&++ p.m. of 0ecember 23, 2+'3, %hile I %as at !r"y. Santia"o $l,
Nabua, Camarines Sur, I notice)foun out that my blac4 %allet %hich I place in my blac4 slin"
ba" containin" the above,mentione items %as lost5
-. 'hat the said Professional 4rivers ?icense $as never confiscatedBapprehended by any
traffic officer or la$ enforcer+

6. (hat I e7erte efforts to locate but resulte in vain5
6. (hat I am e7ecutin" this affiavit to establish the sai loss an in orer to support my
re8uest for re,issuance of the above,mentione items, for all le"al intents an purposes
it may serve.
IN 9I(N:SS 9;:R:$<, I have hereunto set my han this 26th of 0ecember, 2+'3 at
Nabua, Camarines Sur, Philippines.
ROY CHRISTOPHER DEMESA Y UVERO
Affiant
PASSPORT NO. EB4185195
At DFA L!"a#$i Cit%
On D!&!'(!) 1 *+11

S/!SCRI!:0 -N0 S9$RN to before me this 26
(;
0-= $< 0ecember, 2+'3 at
Nabua, Camarines Sur, Philippines, by the affiant 4no%n to me an to me 4no%n to be the same
person %ho personally e7ecute an si"ne the fore"oin" affiavit an personally ac4no%le"e
before me that the same is his free an voluntary act an ee an I hereby certify that I have
personally e7amine the affiant an I am satisfie that he voluntarily e7ecute an unerstoo the
fore"oin" affiavit.
Republic of the Philippines)
Province of Camarines Sur) s.s.
Municipality of Nabua )
AFFIDAVIT OF 2OSS
", 844"8 6=R47N > 68?*"C=, 21 years old, married, resident of 6aran#ay ?ourdes
>oun#, Nabua, Camarines Sur, after havin# been duly s$orn to in accordance $ith la$, depose
and say%
,. 'hat " am the holderBo$ner of the follo$in# "dentification Cards, to $it%
2. Php :.:: cash
. CP= Professional "4
A. P"CP= "4
8. "ntelicare 9ealth Card
C. Philhealth "4
&:. '"N "4
&&. Pertinent receipts
,. 'hat on or about %:: p.m. of 4ecember &, ,:&-, $hile " $as at Nbua Public Mar(et,
Poblacion, Nabua, Camarines Sur, " noticedBfound out that my bro$n $allet $hich " placed in my
ri#ht bac( poc(et of my $orn pants $as lost, $hich unfortunately included the above0mentioned
"dentification Cards and pertinent receipts and " believed that have un(no$in#ly slipped off from
my poc(et+
-. 'hat " e3erted efforts to locate but resulted in vain+
1. 'hat " am e3ecutin# this affidavit to establish the said loss and in order to support my
re/uest for re0issuance of the above0mentioned "dentification Cards, for all le#al intents and
purposes it may serve.
"N W"'N8SS W98R87!, " have hereunto set my hand this &8th of 4ecember, ,:&- at
Nabua, Camarines Sur, Philippines.
EDDIE BARDON Y BE23ICA
A..iant
TIN NO/ %45674567(8
At BIR! I$i9a City

S<6SCR"684 =N4 SW7RN to before me this &8
'9
4=> 7! 4ecember, ,:&- at
Nabua, Camarines Sur, Philippines, by the affiant (no$n to me and to me (no$n to be the same
person $ho personally e3ecuted and si#ned the fore#oin# affidavit and personally ac(no$led#ed
before me that the same is his free and voluntary act and deed and " hereby certify that " have
personally e3amined the affiant and " am satisfied that he voluntarily e3ecuted and understood the
fore#oin# affidavit.
Republic of the Philippines)
Province of Camarines Sur) s.s.
Municipality of Nabua )
AFFIDAVIT OF 2OSS
", BENJAMIN C/ ABA22A! JR/! married, of le#al a#e, !ilipino, resident of 6aran#ay
San Ramon So#od, ?a 7pinion, Nabua, Camarines Sur, after havin# been duly s$orn to in
accordance $ith la$, depose and say%
-. 'hat " am the holderBo$ner of Certificate of Re#istration of my motor vehicle, under
CR No. &&:C&221+

,. 'hat on September &2, ,:&-, $hile " $as in Manila, " noticedBfound out that my
$allet $hich " placed in my ri#ht bac( poc(et of my pants $as lost, $hich unfortunately
included the above0mentioned Certificate of Re#istration, and pertinent receipts and " believed
that have un(no$in#ly slipped off from my poc(et+
-. 'hat " e3erted efforts to locate but resulted in vain+
4. That I now request the Land Transportation Office to issue a new Certificate of
Registration in lieu of the lost.
5. That each and every fact herein stated is true and I am willing to testify efore
any court of !ustice to sustantiate the truth of each and all the said facts.
1. 'hat " am e3ecutin# this affidavit to establish the said loss and in order to support my
re/uest for re0issuance of the above0mentioned Certificate of Re#istration, for all le#al intents and
purposes it may serve.
"N W"'N8SS W98R87!, " have hereunto set my hand this ,-rd of 4ecember, ,:&- at
Nabua, Camarines Sur, Philippines.
BENAJMAMIN C/ ABA22A! JR/
A..iant
ID NO/0000000000000000000000
Iss+1 at 00000000000000000000
On 000000000000000000000000

S<6SCR"684 =N4 SW7RN to before me this ,-rd 4=> 7! 4ecember, ,:&- at
Nabua, Camarines Sur, Philippines, by the affiant (no$n to me and to me (no$n to be the same
person $ho personally e3ecuted and si#ned the fore#oin# affidavit and personally ac(no$led#ed
before me that the same is his free and voluntary act and deed and " hereby certify that " have
personally e3amined the affiant and " am satisfied that he voluntarily e3ecuted and understood the
fore#oin# affidavit.
Republic of the Philippines)
Province of Camarines Sur) s.s.
Municipality of Nabua )
AFFIDAVIT OF 2OSS
", 844"8 6=R47N > 68?*"C=, 21 years old, married, resident of 6aran#ay ?ourdes
>oun#, Nabua, Camarines Sur, after havin# been duly s$orn to in accordance $ith la$, depose
and say%
1. 'hat " am the holderBo$ner of the follo$in# "dentification Cards, to $it%
&,. Php :.:: cash
&-. CP= Professional "4
&1. P"CP= "4
&2. "ntelicare 9ealth Card
&. Philhealth "4
&A. '"N "4
&8. Pertinent receipts
,. 'hat on or about %:: p.m. of 4ecember &, ,:&-, $hile " $as at Nbua Public Mar(et,
Poblacion, Nabua, Camarines Sur, " noticedBfound out that my bro$n $allet $hich " placed in my
ri#ht bac( poc(et of my $orn pants $as lost, $hich unfortunately included the above0mentioned
"dentification Cards and pertinent receipts and " believed that have un(no$in#ly slipped off from
my poc(et+
-. 'hat " e3erted efforts to locate but resulted in vain+
1. 'hat " am e3ecutin# this affidavit to establish the said loss and in order to support my
re/uest for re0issuance of the above0mentioned "dentification Cards, for all le#al intents and
purposes it may serve.
"N W"'N8SS W98R87!, " have hereunto set my hand this &8th of 4ecember, ,:&- at
Nabua, Camarines Sur, Philippines.
EDDIE BARDON Y BE23ICA
A..iant
TIN NO/ %45674567(8
At BIR! I$i9a City

S<6SCR"684 =N4 SW7RN to before me this &8
'9
4=> 7! 4ecember, ,:&- at
Nabua, Camarines Sur, Philippines, by the affiant (no$n to me and to me (no$n to be the same
person $ho personally e3ecuted and si#ned the fore#oin# affidavit and personally ac(no$led#ed
before me that the same is his free and voluntary act and deed and " hereby certify that " have
personally e3amined the affiant and " am satisfied that he voluntarily e3ecuted and understood the
fore#oin# affidavit.
PRO,ECT
IN
MA-ABAYA
N
Submitted to%
MRS/ 2EI2A :/ DURAN
SubDect 'eacher
Submitted by%

RA2P: SI2VESTER B/ 22ORIN
3$a1+ IV6A
Repulic of the "hilippines #
"rovince of Camarines $ur # $.$.
%unicipality of &aua #
' ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( ( '
AFFIDAVIT OF LOSS
I) JENNIFER ATIAN-AGUILAR, 5* years old) married) +ilipino) and resident of
&o. ,4 -one , "arish $t. $an Roque "olacion) &aua) Camarines $ur) "hilippines)
after eing duly sworn to in accordance with law) herey depose and state.
/. That I am the holder0owner of "ermanent Resident Card) 1nited $tate of
2merica3
,. That as a result of transferring from one location to another) the "ermanent
Card which was inserted on my passport was missing on &ovemer ,4) ,5/4
upon my arrival at &inoy 2quino International 2irport) Terminal ,) "asay City)
and diligent search made and underta6en such that I now elieve that the
same is lost eyond recovery3
4. That I e'erted efforts to locate ut resulted in vain3
4. That I now request the 1nited $tate of 2merica to issue a new "ermanent
Resident Card in lieu of the Cards that was lost.
5. That each and every fact herein stated is true and I am willing to testify efore
any court of !ustice to sustantiate the truth of each and all the said facts.
I& 7IT&8$$ 798R8O+) I have hereunto set my hand this ,:th day of
&ovemer) ,5/4 at &aua) Camarines $ur) "hilippines.

JENNIFER ATIAN6A3UI2AR
Affiant
ID NO._______________________
Issued at ____________________
On ___________________
SUBSCRIBED AND SWORN to efore me this ,:th day of &ovemer) ,5/4 at
&aua) Camarines $ur) y the affiant 6nown to me and to me 6nown to e the same
person who personally e'ecuted and signed the foregoing affidavit and personally
ac6nowledged efore me that the same is her free and voluntary act and deed and I
herey certify that I have personally e'amined the affiant and I am satisfied that she
voluntarily e'ecuted and understood the foregoing affidavit.
;oc. &o. <<<<<<<<3 ROMEO BELMONTE ABACA, JR
"age &o. <<<<<<<<3 &OT2R= "1>LIC
>oo6 &o. ?II 3 1ntil ;ecemer 4/) ,5/4
$eries of ,5/43 "TR &O. /4@A,@4(C /0:0/4

Republic of the Philippines)
Province of Camarines Sur) s.s.
Municipality of Nabua )
AFFIDAVIT OF 2OSS
", TERESITA R/ BA22ERDA! !ilipino, of le#al a#e, $ido$, resident of Santia#o >oun#,
Nabua, Camarines Sur, Philippines, after havin# been duly s$orn to in accordance $ith la$, depose and
say%
&. 'hat " am a planholder of St. Peter ?ife Plan, "nc. St. Peter ?ife Plan 6uildin#, EueFon =venue
cor. No. , West 1
th
St. EueFon City+
,. 'hat " $as issued a Policy Contract by the St. Peter ?ife Plan, "nc.

-. 'hat sometime in the month of September, ,:&-, at my house in Santia#o >oun#,
Nabua, Camarines Suir, " noticedBfound out that my bro$n envelope $hich " placed in
my cabinet $as lost, $hich unfortunately included the above0mentioned policy
contract and pertinent receipts+
1. 'hat " e3erted efforts to locate but resulted in vain+
2. 'hat " am e3ecutin# this affidavit to establish the truth of the fore#oin# statements.
"N W"'N8SS W98R87!, " have hereunto set my hand this ;;;;
h
day of )anuary, ,:&1 at Nabua,
Camarines Sur, Philippines.
TERESITA R/ BA22ERDA
A..iant
ID NO/ N%%5(''88P
Iss+1 at I$i9a City
On Ma$c# %(! 2;%%-
S<6SCR"684 =N4 SW7RN to before me this ;;;;
th
day of )anuary, ,:&1 at Nabua,
Camarines Sur, Philippines, by the affiant (no$n to me and to me (no$n to be the same person
$ho personally e3ecuted and si#ned the fore#oin# affidavit and personally ac(no$led#ed before
me that the same is her free and voluntary act and deed and " hereby certify that " have personally
e3amined the affiant and " am satisfied that she voluntarily e3ecuted and understood the fore#oin#
affidavit.
4oc. No. ;;;;;;;;+
Ps#e No. ;;;;;;;;+
6oo( No. ;;;;;;;+
Series of ,:&1
4oc. No. ;;;;;;;;+ ROMEO BE2MONTE ABACA! JR/
Pa#e No. ;;;;;;;;+ N7'=R> P<6?"C
6oo( No. vii + <ntil 4ecember -&, ,:&1
Series of ,:&-+ P'R N7. &-C,C10C &B8B&-
"6P N7. 88A:-, &,BB&,
Roll of =ttorney No. 2,1-
Republic of the Philippines)
Province of Camarines Sur) s.s.
Municipality of Nabua )
AFFIDAVIT OF 2OSS
", RIC CA2ME y PERE<! 1: years old, !ilipino, married, and a resident of Gone ,,
6r#y. Cristo Rey, 6ato, Camarines Sur, Philippines, after havin# been duly s$orn to in
accordance $ith la$, depose and say%
&C. 'hat " am the o$ner of .oterHs "4 Card+ Community 'a3 Clearance and Professional
4riverHs ?icense+
,. 'hat sometime on =u#ust, ,:&-, $hile " $as travellin# in a passen#er bus from 6ato,
Camarines Sur to$ards Metro Manila, and $hile the said passen#er bus $as about to stop in a
canteen located at ?ucena City , " noticed that my $allet $hich " placed in my bac( poc(et of my
short pants $as lost, $hich unfortunately included the above0mentioned "dentification Cards and
the amount of P&,-::.::, and " believed that have un(no$in#ly slipped off from my poc(et+
-. 'hat " e3erted efforts to locate but resulted in vain+
1. 'hat the said Professional 4rivers ?icense $as never confiscatedBapprehended by any
traffic officer or la$ enforcer+

-. 'hat " am e3ecutin# this affidavit to establish the said loss and in order to support my
re/uest for re0issuance of the above0mentioned "dentification Cards, for all le#al intents and
purposes it may serve.
1. "N W"'N8SS W98R87!, " have hereunto set my hand this ,1
rd
of 7ctober, ,:&-
at Nabua, Camarines Sur, Philippines.
RIC CA2ME y PERE<
A..iant
Pass)o$t no/ EB(%;42'2
Iss+1 by DFA
S<6SCR"684 =N4 SW7RN to before me this ,1
'9
4=> 7! 7ctober, ,:&- at Nabua,
Camarines Sur, Philippines, by the affiant (no$n to me and to me (no$n to be the same person
$ho personally e3ecuted and si#ned the fore#oin# affidavit and personally ac(no$led#ed before
me that the same is his free and voluntary act and deed and " hereby certify that " have personally
e3amined the affiant and " am satisfied that he voluntarily e3ecuted and understood the fore#oin#
affidavit.
4oc. No. ;;;;;;;;+ ROMEO BE2MONTE ABACA! JR/
Pa#e No. ;;;;;;;;+ N7'=R> P<6?"C
6oo( No. .""" + <ntil 4ecember -&, ,:&1
Series of ,:&-+ P'R N7. &-C,C10C &B8B&-
"6P N7. 88A:-, &,BB&,
Roll of =ttorney No. 2,1-
Republic of the Philippines)
Province of CamarinesSur ) S.S.
Municipality of Nabua )
AFFIRMATION OF WITNESS
", ROMAN 3WY22EN FORTUNO 2ADAW, of le#al a#e, !ilipino,
married, resident of San Mi#uel, Nabua, Camarines Sur, Philippines, after havin#
been duly s$orn to in accordance $ith la$, depose and say%
&. 'hat " personally (no$ 9onorio R. !ortuno ma(in# the ac(no$led#ment
named in the 83tra0)udicial Settlement of 8state $ith Waiver of Ri#hts+

,. 'hat " $as present $hen 9onorio R. !ortuno si#ned the said document+
-. 'hat 9onorio R. !ortuno does not si#ned the said document instead he
used his ri#ht thumb mar(+
1. 'hat " do not have financial interest in the document bein# ac(no$led#e.
47N8 this Ath day of September, ,:&-, at Nabua, Camarines Sur, Philippines,
ROMAN 3WY22EN F/ 2ADAW
=ffiant
"4 No.&060&:-AC
"ssued on 4ecember ,-, ,:&&
=t Camp Crame, EueFon City
" 98R6> C8R'"!> that " have e3amined personally the above0named
$itness, and avo$ed to the penalty of la$ to the truthfulness of the $hole contents.
ATTY/ ROMEO B/ ABACA! JR/
Nota$y Pb,c
DAVIT OF 2OSS
", A2TON A/ REONA2, married, of le#al a#e, !ilipino, and resident of ?ourdes >oun#,
Nabua, Camarines Sur, Philippines, after havin# been duly s$orn to in accordance $ith la$,
depose and say%
&. 'hat " am the o$ner of an "dentification Card $ith Number :8:2&&A,811, duly
issued by the Philippine 9ealth "nsurance Corporation+
,. 'hat sometime on the month of =u#ust, ,:&-, $hile " $as on my from ?a#una #oin#
bac( to my residence at Nabua, Camarines Sur, " found out that the afore0cited
"dentification Card $hich " placed in my travellin# ba# $as lost+
-. 'hat " e3erted my l efforts to locate but resulted in vain+
1. 'hat " am e3ecutin# this affidavit in order to attest to the truth of the for#oin# facts and
to support my re/uest for re0issuance of the same $ith the 7ffice of Philippine 9ealth
"nsurance Corporation, for all le#al intents and purposes it may serve.
"N W"'N8SS W98R87!, " have hereunto set my hand this ;;;th day of September,
,:&-, at Nabua, Camarines Sur, Philippines.
A2TON A/ REONA2
=ffiant
"4 N7. ;;;;;;;;;;;;;;
.=?"4 <N'"?;;;;;;;
=';;;;;;;;;;;;;;;;
S<6SCR"684 =N4 SW7RN to before me this ;;;'9 4=> 7! September, ,:&-, at
Nabua, Camarines Sur, Philippines.
4oc. No. ;;;;;;;;;+
Pa#e No. ;;;;;;;;;+
6oo( No. ;;;;;;;;;+
Series of ,:&-+