You are on page 1of 1


We, GLENN Y. PERGES and GLAIZA C. LAPEZ, of legal ages, both

Filipino, single and a resident of Looc, Cabilao, Loon, Bohol, Philippines and
Manga District, Tagbilaran City, after having been duly sworn to in accordance with
law hereby depose and say that:

1. We are planning to get married this December 12, 2018 at Vita Isola,
Sandingan, Loon, Bohol;

2. We request Judge Meriam Alcantara to officiate and solemnized our

marriage outside her sala;

3. We are executing this affidavit freely and voluntary to attest to the

truth of the forgoing facts and for whatever legal purposes this may serve.

IN WITNESS WHEREOF, we have hereunto affixed my signature this 20th day of

November 2018 in the City of Tagbilaran, Bohol, Philippines.


Affiant Affiant
Driver’s License No. GO3-18-008322 Driver’s License No. GO3-14-000228
Issued by: LTO Issued by: LTO

SUBSCRIBED AND SWORN to before me this 20th day of November in

Tagbilaran City, Philippines, affiant exhibiting to me their competent proof of

Doc. No : ___
Page No: ___
Book No. ___
Series of 2018