Aff of Late Registration of Birth

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REPUBLIC OF THE PHILIPPINES)

Dasmarinas City, Cavite ) S.S.

JOINT AFFIDAVIT LATE REGISTERED

We, ESTRELLA V. PULGA and LOLITA V. BOLUS, both f legal age,


married, Filipinos, and with residence & postal address of Blk 113 Lot 4, Sta.
Lucia, Dasmarinas City, Cavite, and Blk-113 Lot 1, Sta. Lucia, Dasmarinas City,
Cavite, after having been duly sworn to in accordance with law, hereby depose
and say:

1. That we are the family friend of ANACLETO JABIEN TUAZON, who


was born on November 10, 1944, in Jiabong, Samar (western
Samar);

2. That he is son late spouses SEVIRINO TUAZON and FRUCTOSA


JABIEN, of and resident of Jiabong, Western Samar;

3. That we are executing this affidavit for legal purposes of proving


that the reason for the delay in registering her Birth Certificate
causing the late released of signing the document.

IN WITNESS WHEREOF, we have hereunto set our hands this 29th of May
2018 at Dasmarinas City, Cavite, Philippines.

ESTRELLA V. PULGA LOLITA V. BOLUS


Affiant Affiant

SUBSCRIBED AND SWORN to before me on the day and place above-


written, affiant exhibiting to me their ID’s.

Estrella V. Pulga OSCA ID No.53468


Lolita V. Bolus OSCA ID No.44901

Doc. No. 106


Page No.22
Book No. 07
Series of 2018

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