REPUBLIC OF THE PHILIPPINES)

CITY OF MAKATI ) S.S.

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

AFFIDAVIT OF WITNESS

WE, ___________________, of legal age, Filipino,

(single/married/widow) and a resident of
_______________________________, after having been duly sworn to
in accordance with law, depose and state:

1. That We personally know the spouses WILFREDO V. GUARIN and ZOSIMA

J. ROSALES as we are ____________________________;

2. That on November 28, 1992, the abovementioned spouses celebrated their

marital union, solemnized by Rev. Fr. Elmer S. Abacahin, at Immaculate
Conception Parish, Bulua, Cagayan de Oro City;

3. That We personally witnessed the aforesaid marital union;

5. That We executed this affidavit to attest the truthfulness of the foregoing

facts and to support the correction of the unsigned Marriage Certificate by the
spouses.

IN WITNESS WHEREOF, W hereby affixed my signature

this ___________________ in Cagayan de Oro City, Philippines.

__________________________ __________________________

Affiant Affiant
 SUBCRIBED AND SWORN TO before me this March 28, 2018 in Cagayan
de Oro City, Philippines, affiant exhibiting to me thier competent evidence of
identity by way of _____________________________________________
issued at _________________________________
on _____________________________.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2018.