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Republic of the Philippines)

Province of Cagayan ) S.S


Tuguegarao City )
x---------------------------------x

AFFIDAVIT OF EXPLANATION AND ONE AND THE SAME PERSON

I, FREDERICK F. JOVEN, of legal age, Filipino and a resident of Junction,


Pinukpuk Kalinga, after having been duly sworn to in accordance with law, do
hereby depose and state that:

1. ANNIE LAURIE DUMPAO JOVEN was born to parents VICTORIA


DUMPAO and TEODORO GONGOB of Aciga, Pinukpuk, Kalinga;

2. ANNIE LAURIE DUMPAO JOVEN was in our care since she was a baby
and me and my wife considered her as our youngest child;

3. We have enrolled ANNIE LAURIE DUMPAO JOVEN in school using the


said name;

4. School records shows ANNIE LAURIE DUMPAO JOVEN as her name


contrary to what is indicated in her Birth Certificate as ANNIE LAURIE
DUMPAO GONGOB;

5. ANNIE LAURIE DUMPAO JOVEN appearing in the school records and


ANNIE LAURIE DUMPAO GONGOB in the Certificate of Live Birth
pertains to one and the same person;

6. I am executing this affidavit to attest to the truthfulness of the above facts


and for whatever legal purposes and intents it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand, this _____ day of


___________________ at _______________________________.

FREDERICK F. JOVEN
Affiant
ID Type and No. ______________

SUBSCRIBED AND SWORN TO BEFORE ME, this ______ day of


____________________________ at Tuguegarao City, Cagayan.

Doc. No. __________;


Page No. __________; Notary Public
Book No. __________;
Series of 2020.

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