Joint Affidavit Tagulinao

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Republic of the Philippines )

__________……………………….) SS.
x----------------------------x

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS


(FOR DELAYED REGISTRATION OF BIRTH)

WE, RENE ANTHONY BIGLETE CAPIRAL and MARIA ANA C. GONZAGA, both
of legal age, Filipinos and all residents of YELLOWBELL STO. NIÑO MODESTA VILL, SAN
MATEO RIZAL and BLK6 LOT 9 VILLA SAN MATEO 7, GUITNANG BAYAN, SAN MATEO, RIZAL,
after having been duly sworn to in accordance with law, do hereby depose and state
that:

1. We know the facts and circumstances surrounding the birth of the child
named MARSHA CALIS TAGULINAO who was born on 8 March 2019 at
San Mateo Rizal to her biological parents Neil Errolson M. Labios and
Sirhc Victolero Tagulinao, both being our personal
acquaintances/neighbors;

2. The birth of the said child was attended by Dr. Ma. Juvy Santiago, a duly
licensed physician of the same hospital;

4. The birth certificate of the said child was not immediately registered with
the Office of City Civil Registrar, primarily because of the inadvertence of
the parents or failure of the person(s) delegated to do so, hence, this Joint
Affidavit;

5. The birth certificate of the said child is not registered with any Office of
the Local/Municipal/City Civil Registrar;

6. We are executing this Joint Affidavit to attest to the truth of the foregoing
facts of birth and to support the application for delayed registration of the same
with the Office of the City Civil Registrar, San Mateo Rizal.

IN WITNESS WHEREOF, we have hereunto set our hands this _____________


at _______________________.

RENE ANTHONY BIGLETE MARIA ANA C. GONZAGA

Affiant Affiant

SUBSCRIBED AND SWORN to before me this _______________ at


_________________.

Doc No.__________
Page No._________ NOTARY
Book No.________
Series of 2019

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