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REPUBLIC OF THE PHILIPPINES)

QUEZON CITY ) S.S

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS


RE: ONE AND THE SAME PERSON

WE, Susana Guadalupe H. Marcaida and Veronica P. Tabara, both of legal ages, Filipinos, married,
respectively, and with office address at 10th Floor, Agustin I Building, Emerald Avenue, Barangay
San Antonio, Pasig City, and at Zone 2, Park Masinadyahon, Bangga DYCP, Barangay Bata,
Bacolod City, Negros Occidental, after having been sworn in accordance with the law hereby
depose and state that;

1. We personally know the following persons listed below, who are members of the
Kapatiran Para sa Progresong Panlipunan, Inc. and partners to our Peace development
efforts;

NAME IN THE PAYROLL CORRECT NAME REFERENCE OF


CORRECTION

NIETES, DEOVIT NIETES, DIOVET B. VOTERS ID


CUESON, EDUARDO CUIZON, EDUARDO VOTERS ID
GERMUSA, JOVEI HERMOSA, JEVE T. PHILHEALTH ID
CANAG, RAMIE CANAG, REYMIE L. PHILHEALTH ID
LAMA REYMOND LAMA, REMOND PHILHEALTH ID
IGONIA, FAUSTO IGONIA, JUN JUN PAOSTO POLICE
CLEARANCE
HERONDA, DINDO ESCOSAR GERONDA, DENDO ESCOSAR PHILHEALTH ID
RESUMADERO, SAMMY RESOMADERO, SAMMY T. PHILHEALTH ID
PAT, JOHNY PAT, JOHN REY B. PHILHEALTH ID
VERGARA, HAROLD VERGARA, JAROLD M. POLICE
CLEARANCE/
KAPATIRAN ID
BALENARIO, JOY PIOS BALENARIO, JOEY PIOS KAPATIRAN ID
BOLHANO, JOAN RUPINO BOLHANO, JOAN ROPINO VOTERS ID
BORLAS, HILARIO PABALATE BURLAS, HILARIO PABALATE KAPATIRAN ID
DAGUIA, SALVADOR GUIDACAN DAGUIA, SALVADOR GIDACAN KAPATIRAN ID
DOREMON, GUANIE ESTRADA DORIMON, GUANIE ESTRADA PHILHEALTH ID
ENGGANA, WILFREDO PARAN ENGGANA, WELFREDO PARAN VOTERS ID
LAUMOC, JOBEL TANO-AN LAUMOC, JOEVEL TANO-AN KAPATIRAN ID
SALIDO, ZACARIUS SALIDO, ZACARIAS KAPATIRAN ID
PANGGUBASAN PANGGUBASAN
GALLARDO, DANILO GALLARDO, DANILO TRIBULANO KAPATIRAN ID
TRIBOLANO
GONZALES, PABLO BENJAMEN GONZALES, PABLO BENJAMIN KAPATIRAN ID
MARCO, CIRILO ALQUISAR MARCO, CIRILO ALQUIZAR PHILHEALTH ID
2. We know for a fact that the names listed in each of the rows in column one of the
foregoing list, and the names indicated in column two alongside each corresponding row
in column one, to be their true and correct name;

3. We are not in any way related to any of the foregoing person within the fourth civil
degree either by consanguinity or affinity, nor do we have any pecuniary interest in this
matter whatsoever;

4. To remove confusion as to the two names of said persons in the foregoing list, we hereby
declare that the names enumerated in each of the rows in column one alongside the rows
in column two of the foregoing list refer to one and the same person, whose registered
names are the ones exhibited on the second column of the foregoing table, as
substantiated by their government issued documents, in row three;

5. We are executing this affidavit to attest to the truthfulness of the foregoing statements,
and to establish the real identity of the foregoing persons, and for all legal intents and
purposes it may serve.

IN WITNESS WHEREOF, we have hereunto set our hands this ____ day of ______________at
__________, Philippines.

Susana Guadalupe H. Marcaida Veronica P. Tabara


Affiant Affiant
_____________________ __________________
_____________________ __________________

SUBSCRIBED AND SWORN TO before me this ______day of ________________ at


______________ Philippines.

Doc. No. ________;


Page No. ________;
Book No. _______;
Series of 2019.

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