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Living Will

of
JAN ALDRIN ESTRADA AFOS

I, JAN ALDRIN ESTRADA AFOS, of legal age, being of sound mind, do hereby
declare that this is my Living Will and I voluntarily make this declaration. I intend this
declaration to be honored as the expression of my legal right to authorize or refuse medical
treatment.

My desires concerning medical treatment are:

If all of the following conditions are met:

1. I become terminally ill or permanently unconscious as determined by any duly


licensed physician;

2. I can no longer convey my thoughts in any manner;

3. That there is no more available remedy to my situation.

I direct my healthcare providers to refrain from any treatment that involves artificial
nutrition or artificial hydration. However, I do want maximum pain relief even if this might
hasten my death.

I appoint Dr. Delila Andres to be my health care agent with full power of attorney to
make health care decisions based on this document and any views I may have previously
expressed. In situations where my wishes are unknown, I instruct my health care agent to
make decisions based on what he considers to be in my best interest and in keeping with my
own personal values.

My family, the medical facility, and all doctors, nurses and other medical personnel
involved in my care shall have no civil or criminal liability for following my wishes as
expressed in this declaration.

I may change my mind at any time by communicating in any manner that this
declaration does not reflect my wishes.

I sign this document this 7th day of November at19-F, Libis., Quezon City after
careful consideration and full understanding of its meaning and consequences.

________________________________

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LIVING WILL OF JAN ALDRIN ESTRADA AFOS
SIGNED IN THE PRESENCE OF:

____________________________ _____________________________

Lemwil Saclay John Roel Villaruz

ACKOWLEDGEMENT

REPUBLIC OF THE PHILIPPINES)


_____________ )

BEFORE ME, this 7th day of November, 2016, in Quezon City, Philippines,
personally appeared the following persons together with their respective witnesses, showing
to me their competent evidence of identity:

Lemwil Saclay PRC License No. 2345653


John Roel Villaruz Driver’s Licese

known to me to be the same persons who executed the foregoing LIVING WILL, consisting
of two (2) pages including this page upon which this acknowledgement is written, and they
acknowledged to me that the same is their free act and deed.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal,
the day, year and place above written.
Atty. Reymart Lopez
NOTARY PUBLIC

Doc. No. 01
Page No.01
Book No. 01
Series of 2018

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LIVING WILL OF JAN ALDRIN ESTRADA AFOS

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