Você está na página 1de 1

REPUBLIC OF THE PHILIPPINES )

Tagbilaran City ) S.S.


x- - - - - - - - - - - - - - - - - - - - - -x

AFFIDAVIT OF TWO DISINTERESTED PERSONS

We, NELSON M. DOGOY and ROBERT C. CALAMBA, all of legal age,


Filipinos, residents of Balilihan, Bohol, Philippines, and Tagbilaran City, Bohol,
Philippines respectively, after having been sworn in accordance with law, do hereby
depose and state that:

1. We have known MAYA KRISTINA TALAGSA since she was born;

2. We know that she is the daughter of Cristobal R. Talagsa and Cirila P. Talagsa;

3. We are not related by consanguinity or affinity to the child’s parents;

4. We are executing this Affidavit to attest to the truth of the above statements and
in compliance with the requirements of the Philippine Civil Registrar.

IN WITNESS WHEREOF, the parties have hereunto executed this Affidavit at


Tagbilaran City this 4th day of February 2020.

NELSON M. DOGOY ROBERT C. CALAMBA


ID No. ______________________ ID No. ______________________
Issued on ___________________ Issued on ___________________
Issued at ___________________ Issued at ___________________

SUBSCRIBED and SWORN to before me this 4 th day of February 2020, at


Tagbilaran City, presenting to me the above evidence of identity. I hereby certify that I
have personally examined the above-named affiants and that I am satisfied that the
foregoing statements were given by them voluntarily and of his own free will.

DOC. NO. _______ ;


PAGE NO.______
BOOK NO.______ ,
Series of _______

Você também pode gostar