Affidavit: IN WITNESS WHEREOF, I Set My Hands This 5

AFFIDAVIT
I, ANA LEE A. PARALLAG, of legal age, Filipino, and a resident of

Anios, Angadanan, Isabela, after having been duly sworn to in accordance
with the law, states THAT:
1. I am the surviving spouse of the late ELMER T. PARALLAG, who died

on April 14, 2013 at Angadanan, Isabela;
2. During his lifetime, he worked as a teacher holding the item Head

Teacher III at Colorado Integrated School at San Guillermo District;
3. At present, I am in the process of claiming any and all benefits

accruing to him in his capacity as such;
4. Through this instrument, I am authorizing the Department of

Education (DepEd), his employer, to deduct any and all financial
obligations with the said agency, his employer;
5. I am executing this affidavit to attest to the truthfulness of the

foregoing facts and for the purpose of claiming the benefits accruing to
my deceased spouse.
IN WITNESS WHEREOF, I set my hands this 5th day of February 2014

at Tuguegarao City, Cagayan.
ANA LEE A. PARALLAG
Republic of the Philippines )

Province of Cagayan ) SS
Tuguegarao City )
SUBSCRIBED AND SWORN to before me this 5th day of February 2014

at Tuguegarao City, Cagayan. Affiant showed me her GSIS ID bearing
number CRN-006-0077-4777-L.
Doc. No. ____; ATTY. EFREN BUDEK BELENO

Page No. ____; Notary Public until 12-31-14
Book No.____; PTR No. CGYN 4909167/1-6-14
Series of 2014 Roll of Attorney’s No. 57829
IBP NO. 856609/ 1-6-14
MCLE COMPLIANCE NO. IV-0001685
AFFIDAVIT OF EXPLANATION
I, JELYN PASCUAL DUGAY , of legal age, married, Filipino, and a
resident of Santiago City, Isabela, after having been duly sworn to in
accordance with the law, states THAT:
That I am the holder of a Philippine Passport bearing no. N863822

issued by the DFA Manila on 28 MARCH 1994.
That said passport was used when I travelled to Malaysia on 1995 as

Domestic helper and travel back to the Philippines on 1996.
That my year of birth on my first passport was 1968 because my

recruiter adjusted my age and was the one who manipulated all my
documents for me to qualify to work abroad.
That on 14 JUNE 2011, I decided to apply for my second passport at the

DFA-RCO Tuguegarao City without declaring my first Philippine passport
bearing N863822 wherein I used my sister’s name EVANGELINE
MANZANO PASCUAL and her date of birth OCTOBER 17, 1975 without
her consent.
That on the date of release, I decided not to claim my passport bearing

no. EB2682031 using my sister’s name and date of birth because of the
fear that the information contains on the passport would take me
difficulties on my application abroad.
That on July 10, 2013, I applied for my Philippine passport for the third
time at the DFA-RCO Tuguegarao City using my true and correct name
JELYN PASCUAL DUGAY (married name) and true and correct date of
birth SEPTEMBER 18, 1973 without declaring that I had already previous
passport.
That the reason why I did not declare that I had already an old passport
and an unclaimed passport because of what I know this is not the hassle
of processing my passport application and could help me for the fast
release of my passport.
That during the said application, I was given a receipt and when it
reached the date of release, I went to DFA-RCO Tuguegarao City to claim
the said passport but they told me that it was not yet signed and
detected that I had already a previous passport.
That on this day FEBRUARY 18, 2014, I have with me my old passport
presenting to the DFA-RCO personnel and confessing the true and
correct information about my personality.
That my true and correct name is JELYN MANZANO PASCUAL (single
name) and JELYN PASCUAL DUGAY (married name), and my true and
correct date of birth is SEPTEMBER 18, 1973 as stated on my Certificate
of Live Birth issued by the NSO.
That I am asking for an apology to the DFA-RCO personnel of what

happened and hoping for the immediate processing and fast release of
my passport.
That I will use my married name JELYN PASCUAL DUGAY and my true
and correct date of birth SEPTEMBER 18, 1973 on my passport
application.
IN WITNESS WHEREOF, I set my hands this 8th day of February 2014

JELYN PASCUAL DUGAY
Republic of the Philippines )

Province of Cagayan ) SS
Tuguegarao City )
SUBSCRIBED AND SWORN to before me this 8th day of February 2014

Doc. No. ____; ATTY. EFREN BUDEK BELENO

Page No. ____; Notary Public until 12-31-14
Book No.____; PTR No. CGYN 4909167/1-6-14
Series of 2014 Roll of Attorney’s No. 57829
IBP NO. 856609/ 1-6-14
MCLE COMPLIANCE NO. IV-0001685

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AFFIDAVIT

I, ANA LEE A. PARALLAG, of legal age, Filipino, and a resident of

1. I am the surviving spouse of the late ELMER T. PARALLAG, who died

2. During his lifetime, he worked as a teacher holding the item Head

3. At present, I am in the process of claiming any and all benefits

4. Through this instrument, I am authorizing the Department of

5. I am executing this affidavit to attest to the truthfulness of the

IN WITNESS WHEREOF, I set my hands this 5th day of February 2014

ANA LEE A. PARALLAG

Republic of the Philippines )

SUBSCRIBED AND SWORN to before me this 5th day of February 2014

Doc. No. ____; ATTY. EFREN BUDEK BELENO

That I am the holder of a Philippine Passport bearing no. N863822

That said passport was used when I travelled to Malaysia on 1995 as

That my year of birth on my first passport was 1968 because my

That on 14 JUNE 2011, I decided to apply for my second passport at the

That on the date of release, I decided not to claim my passport bearing

That I am asking for an apology to the DFA-RCO personnel of what

IN WITNESS WHEREOF, I set my hands this 8th day of February 2014

JELYN PASCUAL DUGAY

Republic of the Philippines )

SUBSCRIBED AND SWORN to before me this 8th day of February 2014

Doc. No. ____; ATTY. EFREN BUDEK BELENO

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