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REPUBLIC OF THE PHILIPPINES)

PROVINCE OF AKLAN )S.S.


MUNICIPALITY OF KALIBO )
x-------------------------x

JOINT-AFFIDAVIT FOR LATE REGISTRATION OF BIRTH


( OF TWO DISINTERESTED PERSONS )

WE, MACAWILI S. CORAZON and LETECIA T. TUMOLOG, of legal ages, married,


Filipinos, and residents of Agbalogo, Makato, Aklan, after having been duly sworn to in
accordance with law, do hereby depose and say:

1. That we personally know SPS. HERMENEGILDA FERNANDEZ and LAMBERTO T.


CAPNAO , being our neighbors and close associates;

2. That we know that said SPS. HERMENEGILDA FERNANDEZ AND LAMBERTO T.


CAPNAO are the natural parents of ROSELO FERNANDEZ CAPNAO, who was born on
June 01, 1969 at Makato, Aklan and the same we do hereby declare under oath for being
present at the house, where said child was born;

3. That due to the negligence and/or inadvertence on the part of his parents and the
prevailing conditions then, his birth was not reported and registered with the Office of the
Municipal Civil Registrar of Makato, Aklan immediately thereafter;

4. That we have first-hand knowledge of the foregoing facts because we together with our
respective families, being their acquaintances and close family friends, were among those
who first visited her and her mother on the day that she was born as is customary in the
province;

5. That we are executing this affidavit to attest to the truth of the foregoing facts for all legal
intents and purposes, in particular, to request the Local Civil Registry of Makato, Aklan, to
cause the late registration of the facts of birth of ROSELO FERNANDEZ CAPNAO, after
payment of the necessary fees relative thereto.

IN TESTIMONY WHEREOF, we have hereunto set our hands this April 19, 2018 at Kalibo,
Aklan.

MACAWILI S. CORAZON LETECIA T. TUMOLOG


Affiant Affiant
VIN 0411-0011A-L1263CSM20002-2; OSCA ID Card No. 39120;
Issued on 07-04-14

SUBSCRIBED AND SWORN to before me this April 19, 2018, at Kalibo, Aklan.

Doc. No. 264;


Page No. 54;
Book No. IV;
Series of 2018.

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