Republic of the Philippines)

Bayambang, Pangasinan)

AFFIDAVIT OF SINGLE STATUS

I, NIKKIE LAGMAN AQUINO, of legal age, Filipino, with residence address at Barangay
Tamaro, Bayambang, Pangasinan, after having been duly sworn to in accordance with law, do
hereby depose and say, that:

1. I have never contracted any marriage in the Philippines or elsewhere and I remain SINGLE
to this very day and hour;

2. I have no child born at the time of the execution of this Affidavit;

3. I am executing this Affidavit for the purpose of my baptismal (Iglesia ni Cristo).

4. I declare that the statements made in this affidavit are true and correct and I am willing
to bear all the legal responsibilities arising therefrom.

IN WITNESS WHEREOF, I have hereunto set my hand this 11th day of October 2019 at the
Municipality of Bayambang, Pangasinan.

NIKKIE LAGMAN AQUINO

Affiant

SUBCRIBED AND SWORN TO before me this 11th day of October 2019 at the Municipality
of Bayambang, Pangasinan, affiant exhibiting her Philhealth ID No. 05-025578058-9, issued
by Philhealth Calasiao, Philippines.

NOTARY PUBLIC

Doc No. 297;

Page No. 61;
Book No. I;
Series of 2019.