Joint Affidavit of Two Disinterested Person - First Name

Republic of the Philippines)
City of Zamboanga. . . . . . .)s.s.

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JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

We, JAMJON CALEM MALDON and REY JOMAWAN SOBERANO both
of legal age, Filipinos, and residents of San Roque and Malagutay,
Zamboanga City, Philippines, respectively, after having been sworn, hereby
depose and state:
1. That we know the person of JANALYN CRUZ RESOR, who was born
on February 19, 1994 at Zamboanga City;
2. That her true and correct full name is JANALYN CRUZ RESOR, as
reflected in her NSO Authenticated Certificate of Live Birth;
3. That however, in her Zamboanga City Medical Center Hospital
Record, her middle name was erroneously placed therein as
PILAR instead of her true and correct Middle Name of CRUZ
as appearing in her PHILIPPINE HEALTH INSURANCE CORPORATION
(PHILHEALTH) Record and in her NSO Authenticated Certificate of
Live Birth;
4. That the error may have been caused by the inadvertence of the
person who prepared her PHILHEALTH record;
5. That the names JANALYN CRUZ RESOR in the Certificate of Live
Birth and PhilHealth Record, and JANALYN PILAR RESOR as
erroneously appearing in the Hospital Record, REFERS TO ONE
AND THE SAME PERSON;
6. That we are not related to the said person either by consanguinity
or affinity;
7. That we execute this affidavit to attest to the truthfulness of the
foregoing statements and for whatever legal purpose or purpose
this may serve under the law.
IN WITNESS WHEREOF, we have hereunto affixed our signatures this
13th day of October, 2015 at Zamboanga City, Philippines.
JAMJON CALEM MALDON
Affiant
REY JOMAWAN SOBERANO

Affiant
SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and

for City of Zamboanga this 13 th day of October, 2015. Affiants personally
came and appeared with COMMELEC ID CAR bearing VIN no. 73320562A-A0957JCM10000 and PHILHEALTH ID CARD bearing NO. J04-13001658, respectively, bearing their photographs and signatures, known to
me and to me known to be as the same persons who personally signed the
foregoing instrument before me and avowed under penalty of law to the
whole truth of the contents of said instrument.
Doc. No. _____
Page No. _____
Book No. _____

Series of 2015

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We, ROHILYN S. SASAPAN and SANCHEZ O. SALIALAM, both of
legal age, Filipinos, and residents of Baliwasan Grande, Zamboanga City,
Philippines, after having been sworn, hereby depose and state:
8. That we know the person of BENHAR MISUARI JULHUSIN, who
was born on April 13, 1967 at Buroh, Talipao, Sulu;
9. That his true and correct full name is BENHAR MISUARI
JULHUSIN, as reflected in his CERTIFICATE OF LIVE BIRTH;
10.
That however, in his PHILIPPINE HEALTH INSURANCE
CORPORATION (PHILHEALTH) Record, his first name was erroneously
placed therein as JULHUSIN which is supposed to be his
surname, and his surname was placed therein as BENHAR which
is supposed to be his first name, hence, his full name erroneously
appears to be JULHUSIN MISUARI BENHAR;
11.
That the error may have been caused by the inadvertence of
the person who prepared his PHILHEALTH record;
12.
Furthermore, in his hospital record at ZAMBOANGA DOCTORS
HOSPITAL, his middle name was misspelled as MESUARI instead
of MISUARI and his date of birth was also erroneously placed
therein as MAY 18, 1986 instead of his true and correct date of
birth which is April 13, 1967;
13.
That the names BENHAR MISUARI JULHUSIN in the
Certificate of Live Birth, JULHUSIN MISUARI BENHAR as
erroneously appearing in the PHILHEALTH Record, and BENHAR
MESUARI JULHUSIN as also appearing in the hospital record,
REFERS TO ONE AND THE SAME PERSON;
14.
That we are not related to the said person either by
consanguinity or affinity;
15.
That we execute this affidavit to attest to the truthfulness of
the foregoing statements and for whatever legal purpose or
purpose this may serve under the law.
3 day of September, 2015 at Zamboanga City, Philippines.
rd
ROHILYN S. SASAPAN
Affiant
SANCHEZ O. SALIALAM
Affiant

for City of Zamboanga this 3rd day of September, 2015. Affiants personally
came and appeared with PRC ID CARD NO. 902744520 and
PROFESSIONAL DRIVERS LICENSE CARD NO. J04-08-003797,
respectively, bearing their photographs and signatures, known to me and to
me known to be as the same persons who personally signed the foregoing
instrument before me and avowed under penalty of law to the whole truth of
the contents of said instrument.
Doc. No. _____
Page No. _____
Book No. _____
Series of 2015
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We, OMAR H. WALI and KHALID M. AMILHAMJA, both of legal age,
Filipinos, and residents of Guiwan and Upper Calarian, Zamboanga City,
Philippines, respectively, after having been sworn, hereby depose and state:
16.
That we know the person of TURKI ABDULLA MARAIL, who was
born on July 1, 1984, through Spouses Onyoh Marail and Vilma Abdulla;
17.
That his true and correct full name is TURKI ABDULLA MARAIL, as
reflected in his CERTIFICATE OF LIVE BIRTH;
18.
That however, in his PHILIPPINE HEALTH INUSRANCE
CORPORATION (PHILHEALTH) Record, his middle name was erroneously
placed therein as SALIYA respectively,
instead of his
abovementioned correct middle name ABDULLA ;
19.
That the error may have been caused by the inadvertence of the
person who prepared his PHILHEALTH record;
20.
That the names TURKI ABDULLA MARAIL in the Certificate of
Live Birth and TURKI SALIYA MARAIL as erroneously appearing in the
PHILHEALTH Record, REFERS TO ONE AND THE SAME PERSON;
21.
That we are not
related
to
the
said
person
either
by
22.
That we execute this affidavit to attest to the truthfulness of the
foregoing statements and for whatever legal purpose or purpose this
may serve under the law.
28
TH

day of August, 2015 at Zamboanga City, Philippines.
OMAR H. WALI
Affiant
KHALID M. AMILHAMJA
Affiant

for City of Zamboanga this 28TH day of August, 2015. Affiants personally
came
and
appeared
with
VALID
ID.
bearing
NO.
__________________________________________
and
________________________________________,respectively,
bearing
their
photographs and signatures, known to me and to me known to be as the
same persons who personally signed the foregoing instrument before me and
avowed under penalty of law to the whole truth of the contents of said
instrument.
Doc. No. _____
Page No. _____
Book No. _____
Series of 2015

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We, RICKY MANALO MANUEL and CARMELITO MARCOS
CORONEL, both of legal age, Filipinos, and residents of Gov. Alvarez St. and
Manicahan, Zamboanga City, Philippines, respectively, after having been
sworn, hereby depose and state:
23.
That we know the person of the late MARIA DELIA S. FERMIN,
who was a resident of Cabato Road, Veterans Ave., Zamboanga City;
24.
That her true and correct full name is MARIA DELIA S. FERMIN, as
reflected in her Social Security System (SSS) Record;
25.
That however, in her Death Certificate, her first name was
abbreviated, thus, erroneously appears to be MA. instead of
MARIA which is her complete and correct first name;
26.
That the error may have been caused by the inadvertence of the
person who prepared his death certificate;
27.
That the names MARIA DELIA S. FERMIN in the SSS Record
and MA. DELIA S. FERMIN as erroneously appearing in the Death
Certificate, REFER TO ONE AND THE SAME PERSON;
28.
That we are not
related
to
the
said
person
either
by
29.
________________________ at Zamboanga City, Philippines.
RICKY MANALO MANUEL

Affiant
CARMELITO MARCOS CORONEL

Affiant

for City of Zamboanga this _____________________. Affiants personally came
and appeared with NON-PROFESSIONAL DRIVERS LICENSE CARD
bearing NO. J04-14-006814 and SSS ID CARD bearing NO. 10-07529363, respectively, bearing their photographs and signatures, known to me and
to me known to be as the same persons who personally signed the foregoing
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We, ARNALDO REBOLLOS ROJAS and CRISTETEA G. IBNO, both of
legal age, Filipinos, and residents of Talon-Talon and Pasonanca, Zamboanga
City, Philippines, respectively, after having been sworn, hereby depose and
state:
30.
That we know the person of CASSIE MARIE BUTALID
UNSANG, born on April 14, 2015 at Dipolog City;
31.
That her true and correct first name is CASSIE as reflected
in her PhilHealth Record;
32.
That however, in her hospital record in Zamboanga City
Medical Center, her first name erroneously appears to be CASA
instead of CASSIE;
33.
That likewise, her middle name also erroneously appears to
be KIT instead of BUTALID which is her true and correct
middle name;
34.
That the error in the name of the aforesaid child may have
been caused by the inadvertence of the person encoding and
updating the NEW PhilHealth Membership Record of her mother
JELYN BUTALID UNSANG;
35.
That the names CASSIE MARIE BUTALID UNSANG in the
PhilHealth Record and CASA MARIE KIT UNSANG in the hospital
record at ZCMC, REFERS TO ONE AND THE SAME PERSON;
36.
That we are not related to the said person either by
37.
That we execute this affidavit to attest to the truthfulness of
the foregoing statements and for whatever legal purpose or purpose
22nd day of May, 2015 at Zamboanga City, Philippines.
ARNALDO REBOLLOS ROJAS
Affiant
CRISTETEA G. IBNO
Affiant

for City of Zamboanga this 22 nd day of May, 2015. Affiants personally came
and appeared with SOCIAL SECURITY SYSTEM ID bearing NO. 100615612-2
and
DEPARTMENT
OF
SOCIAL
WELFARE
AND
DEVELOPMENT ID bearing NO. 097332059-0705-00001, respectively,
bearing their photographs and signatures, known to me and to me known to
be as the same persons who personally signed the foregoing instrument
before me and avowed under penalty of law to the whole truth of the
contents of said instrument.
Doc. No. _____
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Book No. _____
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We, EFREN JALAO and CARMEN H. CANADALLA, both of legal age,
Filipinos, and residents of Sta. Catalina and Fort Pilar, Zamboanga City,
38. That we know the person of the late ORLANDO ALEJANDRO

RAMOS, born on January 4, 1954 at Pasonanca, Zamboanga
City;
39. That his true and correct name is ORLANDO ALEJANDRO
RAMOS as reflected in most of his pertinent public and private
documents including his Death Certificate;
40. That however, in his wifes KFI Center for Community
Development Foundation, Inc. Micro-Finance Program (KCCDFI)
Record, his first name was erroneously placed therein as
ROLANDO instead of his correct first name ORLANDO;
41. That the names ORLANDO ALEJANDRO RAMOS and
ROLANDO ALEJANDRO RAMOS in the (KCCDFI) Record
42. That we are not related to the said person either by
43. That we execute this affidavit to attest to the truthfulness of
the foregoing statements and for whatever legal purpose or
purpose this may serve under the law.
12 day of May, 2015 at Zamboanga City, Philippines.
th
EFREN JALAO
Affiant
CARMEN H. CANADALLA
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and for

City of Zamboanga this 12th day of May, 2015. Affiants personally came and
appeared with CITY HEALTH OFFICE MEMBERSHIP CARD bearing NO.
D16-05-311443 and VOTERS ID bearing NO. 6602-0102A-I0278RJA200005, respectively, bearing their photographs and signatures, known to me and to
me known to be as the same persons who personally signed the foregoing
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We, RICKY MANALO MANUEL and ROBERTO ELNAR MARQUEZ, both
of legal age, Filipinos, and residents of Gov. Alvarez St. and Tetuan, Zamboanga
state:
1. That we know the person of the late RENIE AGUILAR FERNANDEZ,
who died on March 13, 2015;
2. That his true and correct name is RENIE AGUILAR FERNANDEZ,
as reflected in his SSS Record;
3. That however, in his Death Certificate, his first name erroneously
appeared to be REYNERIO instead of RENIE;
4. That the discrepancy in the name of the aforesaid person may have
been due to the inadvertence of the person encoding the information
in the death certificate;
5. That the names RENIE AGUILAR FERNANDEZ in the SSS Record
and REYNERIO AGUILAR FERNANDEZ in the Death Certificate,
6. That we are not related to the said person either by consanguinity or
affinity;
__________________________ at Zamboanga City, Philippines.
RICKY MANALO MANUEL

Affiant
ROBERTO ELNAR MARQUEZ

Affiant

City of Zamboanga this __________________________. Affiants personally came
and appeared with VOTERS IDs bearing VIN: 7332-0065A-G1583RMM1005
and VIN: 7332-1428A-K2062REM10000, respectively, bearing their
photographs and signatures, known to me and to me known to be as the same
persons who personally signed the foregoing instrument before me and avowed
under penalty of law to the whole truth of the contents of said instrument.
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Book No. _____
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WE, JOSEPHINE C. SANTOS and JOVIN J. APOLINARIO, both of legal
age, Filipinos, married and single, respectively, and residents of Cabaluay,
Zamboanga City, Philippines, after having been sworn, hereby depose and
state:
44. That we know the person of the late ANJELYN C. JUANITO
who was born on June 9, 1976;
45. That ANJELYN C. JUANITO died on November 23, 2014
without any issue, is a member of the Micro Enterprenuers
Multi-Purpose Cooperative (MEMPCO);
46. That in all her private and public documents including her
Baptismal Certificate, her first name appears as ANJELYN;
47. That however, in her MEMPCO records, her first name
erroneously appears therein as ANGELYN instead of her true
and correct name ANJELYN;
48. That the names ANJELYN C. JUANITO as appearing in all
her pertinent records and ANGELYN C. JUANITO as reflected
in her MEMPCO records, REFERS TO ONE AND THE SAME
PERSON;
50. That we execute this affidavit to attest to the truthfulness of
the foregoing statements and to support the claim of her
husband to whatever benefits that may be due him from
MEMPCO and Country Bankers Life Insurance or whatever

legal purpose or purpose this may serve under the law.
27 day of November, 2014 at Zamboanga City, Philippines.
th
JOSEPHINE C. SANTOS
Affiant
JOVIN J. APOLINARIO
Affiant

City of Zamboanga this 27th day of November,. Affiants personally came and
appeared with their LIGA NG MGA BARANGAY IDs bearing NO. 045-09 and
NO. 045-05, respectively, which are hereto attached, bearing their photographs
and signatures, known to me as the same persons who personally signed the
foregoing instrument before me and avowed under penalty of law to the whole
truth of the contents of said instrument.
Doc. No. _____
Page No. _____
Book No. _____
Series of 2014
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WE, REMEDIOS V. GALO and ZOILA B. MARMETO, both of legal age,
Filipinos, married, and residents of Recodo, Zamboanga City, Philippines,
respectively, after having been sworn, hereby depose and state:
51. That we know the person of the ELENA APAG EPON who
was born on March 17, 1955 through spouses BALDOMERO
EPON and ELEUTERIA APAG;
52. That in her Social Security System (SSS) ID, COMELEC
Voters ID and Marriage Contract with LEONARDO PACULBA,
her name appears as ELENA;
53. However, when she secured a copy of her Authenticated
Certificate of Live Birth with the National Statistics Office
(NSO), it appeared that her first name as reflected therein is
EDNA;
54. That she has been using the name ELENA on the belief that
such is her true and correct name;
55.
The names ELENA APAG EPON as appearing in all her
pertinent records and EDNA APAG EPON as reflected in her
Certificate of Live Birth, REFERS TO ONE AND THE SAME
PERSON;
foregoing statements and for whatever legal purpose or purpose this may serve
under the law.
22
nd

day of September, 2014 at Zamboanga City, Philippines.
REMEDIOS V. GALO
Affiant
ZOILA B. MARMETO
Affiant

City of Zamboanga this 22nd day of September, 2014. Affiants personally came
and appeared with their SSS ID NO. 10-0256572-0 and Senior Citizens ID
No. 016988, respectively, which are hereto attached, bearing their photographs
and signatures, known to me as the same persons who personally signed the
Doc. No. _____

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Series of 2014

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WE, EVA C. BATAC and SUSAN A. CABAHUG, both of legal age,
Filipinos, and residents of Southcom Village and San Roque, Zamboanga City,
57. That we know the person of the MAGDALENA CADO

TIRADOR - CALALIMLALIMAN who was born on July 22,
1954 and married to JOEL B. CALALIMLALIMAN;
58. That in her Baptismal Certificate and Marriage Contract with
Joel B. Calalimlaliman, her name appears as MA.
MAGDALENA C. TIRADOR, instead of her true and correct
name which is MAGDALENA CADO TIRADOR;
59. That the names MA. MAGDALENA C. TIRADOR as
appearing in her Certificates of Baptism and Marriage and
MAGDALENA C. TIRADOR as reflected in her Certificate of
Live Birth, refers to one and the same person;
foregoing statements and for whatever legal purpose or purpose this may serve
under the law.
8 day of August, 2014 at Zamboanga City, Philippines.
th
EVA C. BATAC
Affiant
SUSAN A. CABAHUG
Affiant

City of Zamboanga this 8th day of August, 2014. Affiants personally came and
appeared with their valid identification cards which are hereto attached,
bearing their photographs and signatures, known to me as the same persons
who personally signed the foregoing instrument before me and avowed under
penalty of law to the whole truth of the contents of said instrument.
Doc. No. _____

Page No. _____
Book No. _____
Series of 2014

City of Zamboanga. . . . . .)s.s.
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We, CATHERINE CANDIDO ROJAS and CORAZON DELOS REYES
PEREZ, both of legal age, Filipinos, and residents of Divisoria and San Jose
Gusu, Zamboanga City, Philippines, respectively, after having been sworn,
hereby depose and state:
61.
That we know the person of the late CLARU ALIANGAN, from Sta.
Maria, this city;
62.
That in his SSS records, it appeared that he died at the age of
Ninety Two (92) years old;
63.
However, in his Certificate of Death, his age at the time of his
death was entered as Eighty One (81) years old;
64.
That the names CLARU ALIANGAN, with age of Eighty One (81)
years old in the Certificate of Death and CLARU ALIANGAN with age of
Ninety Two (92) years old in the SSS Record, refer to one and the same
person;
65.
That we are not related to the said person either by consanguinity
or affinity;
66.
foregoing statements and for whatever legal purpose or purpose this may
serve under the law.
th
CATHERINE CANDIDO ROJAS

Affiant
CORAZON DELOS REYES PEREZ

Affiant

City of Zamboanga this 16th day of May, 2014. Affiant CATHERINE CANDIDO
ROJAS personally came and appeared with Postal ID No.: 3213286, and
Affiant CORAZON DELOS REYES PEREZ personally came and appeared with
VIN.: 7332-0545A-F0565CDP20000-9, bearing their photographs and

signatures, known to me as the same persons who personally signed the
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Book No. _____
Series of 2014

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We, FELIZA MAGHANOY and MARENETH COLORADO, both of legal
age, Filipinos, and residents of Margarita, San Roque, Zamboanga City,
1. That we know the person of the late NELSON PARADERO DELA
CRUZ, born to Spouses Warlito Zamora Dela Cruz and Concepcion
Paradero Dela Cruz;
2. That in his SSS records and other pertinent documents and

identification cards, his name appears as and truly is NELSON
PARADERO DELA CRUZ;
3. However, upon scrutiny of his NSO Authenticated Certificate of
Live Birth his name erroneously appeared as NELSON PRADERO
DELA CRUZO;
4. That the apparent clerical/typographic error in his Certificate of
Live Birth was by caused by the person who prepared the same
such that the letter a was omitted in his middle name causing it
to appear as PRADERO instead of his true and correct middle
name which is PARADERO and the letter o was added to his last
name and what was entered was DELA CRUZO instead of true and
correct surname which is DELA CRUZ.
5. That the names NELSON PARADERO DELA CRUZ as appearing in
his SSS Records and other pertinent documents and NELSON
PRADERO DELA CRUZO as erroneously reflected in his NSO
Authenticated Certificate of Live Birth REFERS TO ONE AND THE
SAME PERSON;
or affinity;
nd

day of June, 2014 at Zamboanga City, Philippines.
FELIZA MAGHANOY
Affiant
MARENETH COLORADO
Affiant

City of Zamboanga this 2nd day of June, 2014. Affiant FELIZA MAGHANOY
personally came and appeared with MEMPCO ID No. 005848165 and Affiant
MARENETH COLORADO personally came and appeared with SSS ID No. 100528801-7, bearing their photographs and signatures, known to me as the
same persons who personally signed the foregoing instrument before me and
avowed under penalty of law to the whole truth of the contents of said
instrument.
Doc. No. _____
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Series of 2014
x- - - - - - - - - - - - - - - - -x

67.
Maria, this city;
68.
69.
70.
person;
71.
or affinity;
72.
th

Affiant

Affiant


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Series of 2014

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We, RICKY MANALO MANUEL and CARMELITO CORONEL, both of
legal age, Filipinos, and residents of Bunguiao and Manicahan, Zamboanga
state:
73.
That we know the person of CONCORDIA L. EBIAS-TEE, who died
on February 25, 2014;
74.
That her true and correct name is CONCORDIA L. EBIAS-TEE as
reflected in her EE per SSS record;
75.
That however, in her Certificate of Death, her name appeared to be
CONCORDIA EBIAS TEE;
76.
That the names CONCORDIA EBIAS TEE in the Certificate of
Death and CONCORDIA L. EBIAS-TEE in the SSS Record, refer to one
and the same person;
77.
or affinity;
78.

____ day of April, 2014 at Zamboanga City, Philippines.
RICKY MANALO MANUEL

Affiant
VIN: 7332-0065A-G1583RMM10005-1
J04-82-017466
CARMELITO CORONEL
Affiant
Valid ID No.:Drivers License No.
SUBSCRIBED AND SWORN TO before me this 10th day of April, 2014, at

Zamboanga City, Philippines, affiants having exhibited to me their valid
identification cards issued at Zamboanga City, Philippines.
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We, RODRIGO MANUEL and ARNEL ENRIQUEZ, both of legal age,
Filipinos, and residents of Bunguiao and San Jose Gusu, Zamboanga City,
1. That we know the person of JOSE L. TAN, who died on March 4, 2014;
2. That in his SSS records, it appeared that he died at the age of Sixty Nine
(69) years old;
3. However, in his Certificate of Death, his age at the time of his death was
entered as Fifty Eight (58) years old;
4. That the names JOSE L. TAN, with age of Fifty Eight (58) years old in
the Certificate of Death and JOSE L. TAN with age of Sixty Nine (69)
years old in the SSS Record, refer to one and the same person;
5. That we are not related to the said person either by consanguinity or
affinity;
6. That we execute this affidavit to attest to the truthfulness of the foregoing
statements and for whatever legal purpose or purpose this may serve
under the law.
10 day of April, 2014 at Zamboanga City, Philippines.
th
RODRIGO MANUEL
Affiant
Valid ID: Professional Drivers License
1029541/907469
ARNEL ENRIQUEZ
Affiant
Valid ID No.:FA LIC. No.

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We, RICKY MANALO MANUEL and RONNIE GALVEZ DE LEON, both of
legal age, Filipinos, and residents of Bunguiao and Tumaga, Zamboanga City,
7. That we know the person of RICARDO GEDALANGA SEVILLA, JR.
(Deceased);
8. That his true and correct name is RICARDO GEDALANGA SEVILLA, JR.,
as reflected in his EE per SSS record;
9. That however, in his Certificate of Death, his name erroneously appeared
to be RICARDO G. SEVILLA;
10.
That it is only in his Certificate of Death that his name appears to
be RICARDO G. SEVILLA. In all other records, his name appears as, and
truly is, RICARDO GEDALANGA SEVILLA, JR.;
11.
That the discrepancy in his Death Certificate may have been
caused by the inadvertence of the person preparing the same;
12.
That the names RICARDO G. SEVILLA in the Certificate of Death
and RICARDO GEDALANGA SEVILLA, JR. in the SSS Record, refer to
one and the same person;
13.
That we know the said person since we have been long time friends
before his death;
14.
foregoing statements.
IN WITNESS WHEREOF, we have hereunto affixed our signatures this ____

day of March, 2014 at Zamboanga City, Philippines.
RICKY MANALO MANUEL

Affiant
VIN: 7332-0065A-G1583RMM10005-1
D06-94-142077
RONNIE GALVEZ DE LEON

Affiant
Prof. Drivers License No.:
SUBSCRIBED AND SWORN TO before me this ____ day of March, 2014,

at Zamboanga City, Philippines, affiants having exhibited to me their valid
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Series of 2014

x- - - - - - - - - - - - - - - - -x
We, FISAL KIRAM and ARMILET AQUINO, both of legal age, Filipinos,
and residents of Sinunuc, Zamboanga City, after having been sworn, hereby
depose and state:
15.
That we know the person of LEVIE D. DELA CRUZ who died on
March 26, 2013;
16.
That in his SSS records and other pertinent documents, it
appeared that he died at the age of Thirty Eight (38) years old;
17.
death was erroneous entered as thirty three (33) years old;
18.
That it is only in his Certificate of Death that his age appears to be
33 years old. In all other records, his age appears as, and truly is, 38
years old;
19.
That we know the said person since we have been neighbors and
close family friends for more than ten (10) years;
20.
IN WITNESS WHEREOF, we have hereunto affixed our signatures this 24 th
FISAL KIRAM
Affiant
Valid Id No.__________________
ARMILET AQUINO
Affiant
Valid Id No._______________________
SUBSCRIBED AND SWORN TO before me this 24 th day of June, 2013 at

Zamboanga City, Philippines.
Doc. No. ___

Page No. ___
Book No. ___
Series of 2013

x- - - - - - - - - - - - - - - - -x
We, IAN LIM and ROY PEREZ, both of legal age, Filipinos, and residents
of Pasobolong, Zamboanga City, after having been sworn, hereby depose and
state:
1. That we know the person of REGALITO U. RAMACHO, SR. who died on
April 26, 2013;
2. That in his SSS records and other pertinent documents, his name
appears as REGALITO U. RAMACHO, SR.;
3. However, in his Certificate of Death, his name was erroneous entered as
REGALITO SR U. RAMACHO and not REGALITO U. RAMACHO, SR.;
4. That it is only in her Certificate of Death that his name appears as
REGALITO SR U. RAMACHO. In all other records, his name appears as,
and truly is, REGALITO U. RAMACHO, SR.;
5. That he is known in the community as REGALITO U. RAMACHO,SR;
6. that the names REGALITO U. RAMACHO,SR. and REGALITO SR U.
RAMACHO refer to one and the same person;
7. That we know the said person since we have been neighbors and close
family friends for more than ten (10) years;
8. That we execute this affidavit to attest to the truthfulness of the foregoing
statements.
IAN LIM
Affiant
Valid ID No. ____________________
ROY PEREZ
Affiant
Valid ID No._________________

Doc. No. ___

Page No. ___
Book No. ___
Series of 2013

x- - - - - - - - - - - - - - - - -x

We, RODRIGO RAVECHE MANUEL and RAMON L. VENTURA, both of
legal age, Filipinos, and residents of Bunguiao and Pasonanca, Zamboanga
state:
8. That we know the person of the late ULYSSES CAMUNIAS, from
Luyahan, this city;
9. That in his SSS records, it appeared that he died at the age of Seventy
Four (74) years old;
10.
death was entered as Seventy Seven (77) years old;
11.
That the names ULYSSES CAMUNIAS, with age of Seventy Seven
(77) years old in the Certificate of Death and ULYSSES CAMUNIAS with
age of Seventy Four (74) years old in the SSS Record, refer to one and the
same person;
12.
or affinity;
13.
th
RODRIGO RAVECHE MANUEL

Affiant
RAMON L. VENTURA
Affiant

City of Zamboanga this 16th day of May, 2014. Affiant RODRIGO RAVECHE
MANUEL personally came and appeared with Professional Drivers License
No.: __________________, and Affiant RAMON L. VENTURA, personally came
and appeared with Postal ID NO. 2940870, bearing their photographs and
Doc. No. _____

Page No. _____
Book No. _____
Series of 2014
x- - - - - - - - - - - - - - - - -x

79.
Maria, this city;
80.
81.
82.
person;
83.
or affinity;
84.
th

Affiant

Affiant

Doc. No. _____

Page No. _____
Book No. _____
Series of 2014

x- - - - - - - - - - - - - - - - -x

We, RICKY MANALO MANUEL and CARMELITO CORONEL, both of
legal age, Filipinos, and residents of Bunguiao and Manicahan, Zamboanga
state:
85.
That we know the person of CONCORDIA L. EBIAS-TEE, who died
on February 25, 2014;
86.
That her true and correct name is CONCORDIA L. EBIAS-TEE as
reflected in her EE per SSS record;
87.
That however, in her Certificate of Death, her name appeared to be
CONCORDIA EBIAS TEE;
88.
That the names CONCORDIA EBIAS TEE in the Certificate of
Death and CONCORDIA L. EBIAS-TEE in the SSS Record, refer to one
and the same person;
89.
or affinity;
90.

____ day of April, 2014 at Zamboanga City, Philippines.
RICKY MANALO MANUEL

Affiant
VIN: 7332-0065A-G1583RMM10005-1
J04-82-017466
CARMELITO CORONEL
Affiant
Valid ID No.:Drivers License No.

Doc. No. ___

Page No. ___
Book No. ___
Series of 2014

x- - - - - - - - - - - - - - - - -x

We, RODRIGO MANUEL and ARNEL ENRIQUEZ, both of legal age,
Filipinos, and residents of Bunguiao and San Jose Gusu, Zamboanga City,
21.
That we know the person of JOSE L. TAN, who died on March 4,
2014;
22.
That in his SSS records, it appeared that he died at the age of Sixty
Nine (69) years old;
23.
death was entered as Fifty Eight (58) years old;
24.
That the names JOSE L. TAN, with age of Fifty Eight (58) years old
in the Certificate of Death and JOSE L. TAN with age of Sixty Nine (69)
years old in the SSS Record, refer to one and the same person;
25.
or affinity;
26.
10 day of April, 2014 at Zamboanga City, Philippines.
th
RODRIGO MANUEL
Affiant
Valid ID: Professional Drivers License
1029541/907469
ARNEL ENRIQUEZ
Affiant
Valid ID No.:FA LIC. No.

Doc. No. ___

Page No. ___
Book No. ___
Series of 2014


x- - - - - - - - - - - - - - - - -x

We, RICKY MANALO MANUEL and RONNIE GALVEZ DE LEON, both of
legal age, Filipinos, and residents of Bunguiao and Tumaga, Zamboanga City,
27.
That we know the person of RICARDO GEDALANGA SEVILLA,
JR. (Deceased);
28.
That his true and correct name is RICARDO GEDALANGA
SEVILLA, JR., as reflected in his EE per SSS record;
29.
That however, in his Certificate of Death, his name erroneously
appeared to be RICARDO G. SEVILLA;
30.
That it is only in his Certificate of Death that his name appears to
be RICARDO G. SEVILLA. In all other records, his name appears as, and
truly is, RICARDO GEDALANGA SEVILLA, JR.;
31.
That the discrepancy in his Death Certificate may have been
caused by the inadvertence of the person preparing the same;
32.
That the names RICARDO G. SEVILLA in the Certificate of Death
and RICARDO GEDALANGA SEVILLA, JR. in the SSS Record, refer to
one and the same person;
33.
That we know the said person since we have been long time friends
before his death;
34.
IN WITNESS WHEREOF, we have hereunto affixed our signatures this ____

day of March, 2014 at Zamboanga City, Philippines.
RICKY MANALO MANUEL

Affiant
VIN: 7332-0065A-G1583RMM10005-1
D06-94-142077
RONNIE GALVEZ DE LEON

Affiant
Prof. Drivers License No.:
SUBSCRIBED AND SWORN TO before me this ____ day of March, 2014,

at Zamboanga City, Philippines, affiants having exhibited to me their valid
Doc. No. ___

Page No. ___
Book No. ___
Series of 2014

x- - - - - - - - - - - - - - - - -x
We, FISAL KIRAM and ARMILET AQUINO, both of legal age, Filipinos,
and residents of Sinunuc, Zamboanga City, after having been sworn, hereby
depose and state:
35.
That we know the person of LEVIE D. DELA CRUZ who died on
March 26, 2013;
36.
That in his SSS records and other pertinent documents, it
appeared that he died at the age of Thirty Eight (38) years old;
37.
death was erroneous entered as thirty three (33) years old;
38.
That it is only in his Certificate of Death that his age appears to be
33 years old. In all other records, his age appears as, and truly is, 38
years old;
39.
40.
FISAL KIRAM
ARMILET AQUINO
Affiant
Valid Id No.__________________
Affiant
Valid Id No._______________________

Doc. No. ___

Page No. ___
Book No. ___
Series of 2013
x- - - - - - - - - - - - - - - - -x
We, IAN LIM and ROY PEREZ, both of legal age, Filipinos, and residents
of Pasobolong, Zamboanga City, after having been sworn, hereby depose and
state:
9. That we know the person of REGALITO U. RAMACHO, SR. who died on
April 26, 2013;
10.
That in his SSS records and other pertinent documents, his name
appears as REGALITO U. RAMACHO, SR.;
11.
However, in his Certificate of Death, his name was erroneous
entered as REGALITO SR U. RAMACHO and not REGALITO U.
RAMACHO, SR.;
12.
That it is only in her Certificate of Death that his name appears as
REGALITO SR U. RAMACHO. In all other records, his name appears as,
and truly is, REGALITO U. RAMACHO, SR.;
13.
That he
RAMACHO,SR;
is
known
in
the
community
as
REGALITO
U.
14.
that the names REGALITO U. RAMACHO,SR. and REGALITO SR U.
RAMACHO refer to one and the same person;
15.
16.
IAN LIM
Affiant
Valid ID No. ____________________
ROY PEREZ
Affiant
Valid ID No._________________

Doc. No. ___

Page No. ___
Book No. ___
Series of 2013

x- - - - - - - - - - - - - - - - - - - -x

We, MARY JOY R. FELICIANO and RICKY MANALO MANUEL, both of
legal age, Filipinos, and residents of La Purisima Street, Zamboanga City,
Philippines and Governor Alvarez Street, Zamboanga City, Philippines,
respectively, after having been sworn, hereby depose and state:
1. That we know the person of the late MARIA CONCEPCIO
SENOGBOJAN PERGONE, who died on July 11, 2015 with prior
residence at Talon-Talon, Zamboanga City;
2. That her true and correct full name is MARIA CONCEPCIO
SENOGBOJAN PERGONE, as reflected in her SOCIAL SECURITY
SYSTEM (SSS) Record;
3. That however, in her DEATH CERTIFICATE, her name was
erroneously
placed
therein
as
MARIA
CONCEPCION
SINOGBUHAN PERGONE inconsistent with her correct name
MARIA CONCEPCIO SENOGBOJAN PERGONE reflected in her
SOCIAL SECURITY SYSTEM (SSS) Record;
person who prepared her DEATH CERTIFICATE record;
5. That
the
names
MARIA
CONCEPCION
SINOGBUHAN
PERGONE appearing in the SSS Record and MARIA CONCEPCIO
SENOGBOJAN PERGONE as erroneously appearing in the Death
Certificate, REFERS TO ONE AND THE SAME PERSON;
or affinity;
17 day of September, 2015 at Zamboanga City, Philippines.
th
MARY JOY R. FELICIANO

Affiant
RICKY MANALO MANUEL

Affiant

for City of Zamboanga this 17th day of September, 2015. Affiants personally
came and appeared with NON-PROFESSIONAL DRIVERS LICENSE CARD
NO. J04-14-007463 and NON-PROFESSIONAL DRIVERS LICENSE CARD
NO. JO4-14-006814, respectively, bearing their photographs and
signatures, known to me and to me known to be as the same persons who
personally signed the foregoing instrument before me and avowed under
penalty of law to the whole truth of the contents of said instrument.
Doc. No. _____

Page No. _____
Book No. _____
Series of 2015

x- - - - - - - - - - - - - - - - - - - -x

We, CARMELITO MARCOS CORONEL and ARNEL SUMALINOG
ENRIQUEZ, both of legal age, Filipinos, and residents of Manicahan,
Zamboanga City, Philippines and San Jose, Gusu, Zamboanga City,
1. That we know the person of the late RODOLFO S. ENRIQUEZ, who
died on August 14, 2015 with prior residence at Villa Sta. Maria,
Zamboanga City;
2. That his true and correct DATE OF BIRTH is April 12, 1956 as
reflected in his SOCIAL SECURITY SYSTEM (SSS) Record;
3. That however, in his DEATH CERTIFICATE, his birth date was
erroneously placed therein as APRIL 17, 1956 inconsistent with
her correct birth date of April 12, 1956 as reflected in his
SOCIAL SECURITY SYSTEM (SSS) Record;
person who prepared his DEATH CERTIFICATE;
5. That the names RODOLFO S. ENRIQUEZ who was born on APRIL
17, 1956 appearing in the Death Certificate and RODOLFO S.
ENRIQUEZ who was born on April 12, 1956 as appearing in the
SSS Record, REFERS TO ONE AND THE SAME PERSON;
or affinity;
17th day of September, 2015 at Zamboanga City, Philippines.
CARMELITO MARCOS CORONEL
Affiant
ARNEL SUMALINOG
ENRIQUEZ
Affiant

for City of Zamboanga this 17th day of September, 2015. Affiants personally
came and appeared with SOCIAL SECURITY SYSTEMS ID CARD NO. 100752936-3 and PNP FIREARM LICENSE CARD CONTROL NO. IF029069, respectively, bearing their photographs and signatures, known to
me and to me known to be as the same persons who personally signed the
foregoing instrument before me and avowed under penalty of law to the
whole truth of the contents of said instrument.
Doc. No. _____
Page No. _____
Book No. _____
Series of 2015

Joint Affidavit of Two Disinterested Person - First Name

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Joint Affidavit of Two Disinterested Person - First Name

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Republic of the Philippines)

City of Zamboanga. . . . . . .)s.s.

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

REY JOMAWAN SOBERANO

SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and

Book No. _____

Republic of the Philippines)

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

IN WITNESS WHEREOF, we have hereunto affixed our signatures this

SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and

Republic of the Philippines)

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

RICKY MANALO MANUEL

CARMELITO MARCOS CORONEL

SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and

Republic of the Philippines)

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and

Republic of the Philippines)

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

38. That we know the person of the late ORLANDO ALEJANDRO

SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and for

Doc. No. _____

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

RICKY MANALO MANUEL

ROBERTO ELNAR MARQUEZ

SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and for

Doc. No. _____

Republic of the Philippines)

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

MEMPCO and Country Bankers Life Insurance or whatever

SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and for

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

IN WITNESS WHEREOF, we have hereunto affixed our signatures this

SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and for

Doc. No. _____

Republic of the Philippines)

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

57. That we know the person of the MAGDALENA CADO

SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and for

Doc. No. _____

Republic of the Philippines)

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

CATHERINE CANDIDO ROJAS

CORAZON DELOS REYES PEREZ

SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and for

VIN.: 7332-0545A-F0565CDP20000-9, bearing their photographs and

Doc. No. _____

Republic of the Philippines)

2. That in his SSS records and other pertinent documents and

IN WITNESS WHEREOF, we have hereunto affixed our signatures this

SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and for

Book No. _____

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

CATHERINE CANDIDO ROJAS

CORAZON DELOS REYES PEREZ

SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and for

signatures, known to me as the same persons who personally signed the

Doc. No. _____

Republic of the Philippines)

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

IN WITNESS WHEREOF, we have hereunto affixed our signatures this