You are on page 1of 2

REPUBLIC OF THE PHILIPPINES

PROVINCE OF TARLAC

)
) S.S.

JOINT AFFIDAVIT
OF TWO DISINTERESTED PERSONS
We, ERIC P. GAMIT and EVERNESTO B. GALSIM JR., of legal ages,
Filipino citizens, and residents of Poblacion West, Santa Ignacia, Tarlac,
Philippines, after having been duly sworn to in accordance with law, do hereby
depose and state THAT:
1.

We both personally know GELYN BAGAYAS SAPINORO


(Gelyn, for brevity), born on May 18, 1983 to Spouses Alfonso Sapinoro
and Nely Bagayas in Camiling, Tarlac;

2.

Maureen is a member of the Social Security System of the


Philippines (SSS) with SS Number 02-1505479-9;

3.

However, the recorded name of Gelyn appearing in the


database of the SSS is GELYN CARBONEL SAPINORO, instead of
GELYN BAGAYAS SAPINORO as appearing in her Certificate of Live
Birth. Hence, the discrepancy;

4.

We are not related to Gelyn by affinity or consanguinity, except


that of being her barangay mates;

5.

We are executing this affidavit to attest to the fact that the


names GELYN BAGAYAS SAPINORO, appearing in her Certificate of Live
Birth, and GELYN CARBONEL SAPINORO, as recorded in her SSS
record, refer to one and the same person, and that is our barangay mate,
Gelyn;

6.

Finally, we are executing this Affidavit to attest to the truth of the


foregoing statements and for all legal intents and purposes it may serve.
IN WITNESS WHEREOF, we have hereunto affixed our signatures this
23 day of November, 2016 at Camiling, Tarlac, Philippines.
rd

ERIC P. GAMIT
Affiant

EVERNESTO B. GALSIM JR.


Affiant

Unified Multi-Purpose ID Card


Voter ID Card with VIN: 6915-0005ACRN-0111-4632759-4
B2066EBG10000
Social Security System of the Philippines COMELEC, Santa Igancia, Tarlac

SUBSCRIBED AND SWORN to before me on the date and place indicated


above. Affiants exhibited before me their respective competent evidence of
identity indicated below their names.

Doc. No.________;
Page No.________;
Book No._______;

Series of 2016.

You might also like