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Republic of the Philippines}

Santiago City} s.s.


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AFFIDAVIT OF STATUTORY
DECLARATION OF SUPPORT

I, KENNETH V. HERNANDEZ, is of legal age, married, Filipino


and a resident of Pangal, Echague, Isabela, after having been duly sworn in
accordance with law, do hereby deposes and states:

1. That I personally know Ceferina A. Villaluz, 72 years old,


widow, Filipino citizen and a resident of Pangal Norte, Echague, Isabela. I
know her because she is my Grandmother. She is my Grandmother
because she is the mother of my mother;

2. That I am a businessman engaged in the trading of grain=s


and farm supply under the name and style KJH Grains Center and Farm
Supply evidenced by my DTI Certificate;[1]

3. That I, my wife and our three (3) children are planning to have
a tour in Toronto, Canada and in the United States of America by next year
and all of us were already issued Canadian Visas. However, it is also the
wish of my Grandmother, Ceferina A. Villaluz to visit Canada and the
United States of America with us. To grant her wish, I am inclined to bring
her with me and my family;

4. That I am capable of supporting the travel of my


Grandmother to Canada since my financial capacity permits me to do so
evidenced by the following:

4.1 Bank Certification issued by Asia United


Bank Current Account No. 124-01-000479-2
dated 28 November 2017;[2]

4.2 Transfer Certificate of Title No. 165-


2015003017 in my name;[3]

4.3 Transfer Certificate of Title No. 165-


2015001663 in my name;[4]

1 Annex A hereof.
2 Annex B hereof.
3 Annex C hereof.
4 Annex D hereof.

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5. The I am the one paying for the trip of my family including
that of my Grandmother who will not be in any manner will be a liability
of the Government of the United States of America and Canada as she
herself also own several real properties as follows:

5.1 Transfer Certificate of Title No. TSC-


26394;[5]

5.2 Transfer Certificate of Title No. TSC-


21734;[6]

5.3 Transfer Certificate of Title No. TSC-


107803;[7]

6. As her grandson, I hereby accept and assume any and all


responsibility for her welfare, including all financial expenses related to
her travel and stay in US and Canada.

7. I guarantee that she will abide by all laws and regulations of


the United States of America and Canadian government;

8. This Affidavit is for the purpose of attesting to the truth of the


foregoing facts, in support of my grandmother application for Visa in the
United States of America and Canada;

AFFIANT FURTHER SAYETH NONE.

IN WITNESS WHEREOF, I hereunto set my hand this 8th day of


December, 2017 at Santiago City.

KENNETH V. HERNANDEZ
Affiant
DL No. B06-08-000946

SUBSCRIBED and SWORN before me this 8th day of December,


2017 at Santiago City, by the affiant who is personally known to me and to
me known to be the same person who executed the foregoing Affidavit.

Doc. No. _____;


Page No. _____;
Book No. _____;
Series of 2017

5 Annex E hereof.
6 Annex F hereof.
7 Annex G hereof.

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