Sie sind auf Seite 1von 2

REPUBLIC OF THE PHILIPPINES )

PROVINCE OF TARLAC ) S.S.


MUNICIPALITY OF CAMILING )

JOINT AFFIDAVIT
OF TWO DISINTERESTED PERSONS

We, EVELYN P. BAUTISTA and JUANITA C. MACARANAS,


of legal ages, Filipino citizens, and residents of Barangay Mapandan,
Mayantoc, Tarlac, after having been duly sworn to in accordance
with law, do hereby depose and state THAT:

1. We both personally know ARSENIA BUCCAT GUMANGAN


(Arsenia, for brevity), born on October 1, 1958 to Spouses
Getalio Gumangan and Lolita Buccat in San Manuel,
Pangasinan;

2. Arsenia is also known as MRS. ARSENIA GUMANGAN SANA


after she got married to Benjamin B. Sana;

3. When Arsenia secured a copy of the Certificate of Live Birth of


her daughter Abegail Gumangan Sana from the National
Statistics Office, Manila (now Philippine Statistics Authority or
PSA) and after scrutinizing the same, she discovered that her
name appearing therein is BETH BAUTISTA GUMANGAN,
instead of her true and correct name ARSENIA BUCCAT
GUMANGAN as recorded in her Certificate of Live Birth.
Hence, the discrepancy;

4. We are not related to Arsenia by affinity or consanguinity,


except that of being barangay mates;

5. The name BETH is just the nickname of Arsenia known by her


relatives, friends and barangay mates;

6. We are executing this Affidavit to attest to the fact that the


names ARSENIA BUCCAT GUMANGAN, as recorded in her
said Certificate of Live Birth, BETH BAUTISTA GUMANGAN,
as recorded in the Certificate of Live Birth of Abegail
Gumangan Sana, and MRS. ARSENIA GUMANGAN SANA,
refer to one and the same person, and that is the biological
mother of Abegail Gumangan Sana, our barangay mate;
7. Finally, we are executing this Affidavit to attest to the truth of
the foregoing statements and for all legal intents and purposes
it may serve.

IN WITNESS WHEREOF, we have hereunto affixed our


signatures this 21st day of June, 2017 at Camiling, Tarlac,
Philippines.

EVELYN P. BAUTISTA JUANITA C. MACARANAS


Affiant Affiant
SSS ID Card Unified Multi-Purpose ID Car
SSS No.: 02-0403183-3 CRN-0111-5872075-2
SSS, Philippines SSS, Philippines

SUBSCRIBED AND SWORN to before me on the date and


place indicated above. Affiants exhibited before me their respective
competent evidence of identity indicated below their names.

Doc. No.:_______;
Page No.:_______;
Book No.:_______;
Series of 2017.