Republic of the Philippines ) Province of )ss.s. Municipality of. ) AFFIDAVIT 1, , of legal age, married, Filipino Citizen, with postal address and residence at Barangay after having been duly sworn to an oath in accordance with law, do hereby depose and state: ‘That I belong to the Indigenous Peoples/Indigenous Cultural Communities being a member of the Tribe as my parents and ancestors are/were legitimate natives of ; ‘That I am the incumbent Barangay Captain of Barangay ‘That I know that the originaV/native inhabitants of Barangay Catabayungan, Cabagan, Isabela are members of the Tribe of the Indigenous Peoples/Indigenous Cultural Communities; That I know the spouses and the former legitimate parents of. ; That I have known the same father of to be a legitimate members of the Indigenous Cultural Communities/Indigenous Peoples (ICCs/IPs) as his parents and/or ancestors are were known to be authentic natives of ‘That I can vouch that , of legal age, single and a bona fide resident of Barangay > is likewise a member of the Tribe and native of Barerigny eet ‘That I am executing this affidavit to attest to the truthfulness of the foregoing and to establish the true tribal membership of. with the tribe. IN WITNESS HEREOF, I have hereunto set my hand this___day of. 2018 at Philippines. ‘Aifiant SUBSCRIBED AND SWORN to before me this day of 2018 at : Doc. No. Page Ni Book No.