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I, Orlando G. Perez, of legal age, married, and a resident of Twin Oaks

Condominium Shaw Boulevard, Mandaluyong City, after having been duly sworn
to in accordance with law, depose and state:

1. That I am a resident psychiatrist at the National Center for Mental Health,

located at Nueve de Pebrero St., Mauway, Mandaluyong City;

2. That I obtained my college degree in Bachelor of Science in Psychology at the

University of Santo Tomas, Manila on March 1984;

2. That I obtained my degree in Medicine at the University of Santo Tomas,

Manila on March 1989;

3. That I passed the medical licensure examination in 1991;

4. That I completed my residency training at the Psychiatry Department of the

University of Santo Tomas, Manila in 1995;

5. That I passed the Psychiatry Fellowship Examination in 1995;

6. That from 1995 – 2004, I was engaged in clinical practice of psychiatry;

7. That I completed my sub-specialty training for Forensic Psychiatry at The

Royal Australian & New Zealand College of Psychiatrists in Melbourne, Australia
in 2007;

8. That I engaged in clinical practice from 2007 to 2018;

9. That I am the attending psychiatrist to Wynona Cruz-Alvarado, herein


10. That on December 16, 2017, Wynona Cruz-Alvarado was referred to me by

the doctor-on-duty at the Emergency Room of the NCMH;

11. That on the same day, after having examined the patient, I ordered for
confinement Wynona Cruz-Alvarado at Pavilion N;

12. That on December N, 2017, Ms. Wendy Santos arrived at the NCMH and
positively identified patient as her sister Wynona Cruz-Alvarado;

11. That the patient was diagnosed with Schizophrenic Spectrum:

Schizophreniform Disorder (Provisional);

IN WITNESS WHEREOF, I hereby affixed my signature this ______ of

January 2018 at Pasig City, Philippines.

Orlando G. Perez (Sgd.)

` Affiant
SUBSCRIBED AND SWORN to before me on the date and place above-written,
affiant exhibiting to me his ________________________, bearing his name,
picture, and signature, as competent evidence of his identity


Doc. No.: ___________

Page No.:___________
Book No.:___________
Series 2018