REPUBLIC OF THE PHILIPPINES )
PROVINCE OF BATANGAS ) S.S.
CITY OF TANAUAN )
JOINT AFFIDAVIT
(Re: Late/Delayed Registration of Birth)
We, CAMILO SANGALANG ROXAS and LUZVIMINDA
TANAP ROXAS, 40 and 35 years of age, respectively, both Filipino citizens
and with residence and postal address at Caloocan, Talisay, Batangas, after
having been duly sworn and oath in accordance with law hereby voluntarily
depose and say:
1. That
we know personally RAF JAN RAPOSAS
ESTEBAN who was born on 25th of December 2014 at Daniel O. Mercado Medical
Center, Tanauan City, Batangas, Batangas to the Spouses RAFAEL SALAZAR ESTEBAN
and JANICE ROJAS RAPOSAS;
2. That
due to the negligence and/or inadvertence on the part of his parents and the
prevailing conditions then, his birth was not reported and registered with the
Office of the Municipal Civil Registrar of Talisay, Batangas immediately
thereafter;
3. That
we have first hand knowledge of the foregoing facts because we together with
our respective families, being their acquaintances and close family friends,
were among those who first visited her and her mother on the day that she was
born as is customary in the province;
4. That
we are executing this Joint affidavit to attest to the truth of all the
foregoing facts, in connection with the application for the late/delayed
registration of birth of the said RAF
JAN RAPOSAS ESTEBAN with the office of the Municipal Civil Registrar of
Talisay, Batangas and for whatever legal purpose this may serve;
IN TRUTH WHEREOF,
we have hereunto set our hands, this __________________ at Tanauan City,
Batangas, Philippines.
CAMILO C. ROXAS LUZVIMINDA T. ROXAS
Affiant Affiant
SUBSCRIBED
AND SWORN to before me, this _____________________ at Tanauan City, Batangas,
Philippines, affiants exhibiting to me their respective Community Tax Certs.
Nos. _________ and __________ both issued at Talisay, Batangas on _____________,
2020.
Doc. No.
_______;
Page No.
_______;
Book
No._______;
Series of 2020.
Note: All of information's like name, address and other sensitive information are not true and this is for example purposes only.
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