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Republic of the Philippines)

Province of Southern Leyte…) S.S


Municipality of Macrohon)

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

We, RIZA C. RODRIGUEZ and LUCILLE D. SABANDAL, Both of legal age,


Filipino, married and single, respectively, and residents of Brgy. San Roque,
Macrohon, Southern Leyte, Philippines, after having been duly sworn to in
accordance with law, do hereby depose and state;

1. That we personally know the personal identity of WELYN PACAONCIS of


San Roque, Macrohon, Southern Leyte;

2. That she was born on January 18, 1978 at Nato, Esperanza, Agusan del
Sur;

3. That however there are discrepancies in her records as the were recorded
as follows:
Discrepancy Certificate of Birth issued by Information she has been
the Local Civil Registrar of using in all of her official
Esperanza, Agusan del Sur records
Wrong Information Correct Information
Name WELYN PACAONCES WELYN PACAONCIS
Sex MALE FEMALE
Date of Birth JANUARY 8, 1978 JANUARY 18, 1978

4. That the names WELYN PACAONCES, with Sex as MALE and Date of
Birth as JANUARY 8, 1978 per Certificate of Birth issued by the Local
Civil Registrar of Esperanza, Agusan del Sur and WELYN PACAONCIS,
with Sex as FEMALE and Date of Birth as January 18, 1978 per
information in her all of her official records, refer only to one and the same
person;

5. That we know these facts because we live in the same barangay and close
friends of their family;

6. That we are not related to them within the fourth civil degree, either by
affinity or consanguinity;

7. That we are executing this affidavit to attest to the veracity of the


foregoing facts and for any legal purpose this may serve thereby.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this


th
11 of June 2018 at Macrohon, Southern Leyte, Philippines.

RIZA C. RODRIGUEZ LUCILLE D. SABANDAL


AFFIANT AFFIANT

SUBSCRIBED AND SWORN TO before me this 11th day of June 2018 at


Macrohon, Southern Leyte, Philippines.

ATTY. MENCHIE ANN S. SALINAS


Notary Public
Com. No. 2017-10 UNTIL Dec. 31, 2018
Roll of Attorneys No. 66790

Doc. No. ____ IBP No. 021495; 1/05/18


Page No. ____ PTR No. 6073809; 1/04/18
Book No. ____ Series of 2018 Macrohon, Southern Leyte

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