Republic of the Philippines )

Municipality of Socorro )
X--------------------X

AFFIDAVIT

I, RICO ABARQUEZ OCLARIT, of legal age, single, Filipino and a

resident of Brgy. Pamosaingan, Socorro, Surigao del Norte, after having
sworn to in accordance with law, hereby depose and say:

1. That I am applying for Electric Service Connection before Siargao

Electric Service Cooperative, Inc.(SIARELCO);

2. That on 2016, I and CHONA M. TELIN in good faith mutually

agreed to become husband and wife by voluntary cohabitation;

3. That I am still single, under Philippine Laws, as I have never

contracted any marriage with CHONA M. TELIN or any other
person up to present;

4. That I am executing this Affidavit for the purpose of complying with

the requirements relating to my aforementioned application;

5. That I am executing this affidavit to attest to the truth of the above

–statement for whatever legal purposes that this affidavit may serve.

IN WITNESS WHEREOF, I have hereunto set my hands this 16th day

of April, 2018 at Surigao City.

RICO A. OCLARIT
Affiant

SUBSCRIBED AND SWORN TO before me this _____ of June 2018 in ________,

affiant exhibiting to me his ___________ I.D., bearing his picture and signature as
competent evidence of his identity.

I HEREBY CERTIFY that I have examined the affiant and I am convinced that
he executed the foregoing freely and voluntarily, based on his own personal
knowledge and belief.

Doc No. ________;

Page No. ________;
Book No, ________;
Series of 2018