REPUBLIC OF THE PHILIPPINES )

Province of Nueva Ecija ) S.S.

Science City of Munoz )

AFFIDAVIT OF FACTS OF BIRTH

I, FRANCISCA QUILANLAN BONAGUA, of legal age, married,

Filipino, presently residing at Barangay Mapalad, Dinalungan, Aurora, after
having been sworn to in accordance with law, hereby depose and state,
THAT:

1. I am the daughter of SPOUSES AMADEO TAGANAS

QUILANLAN and VIRGINIA JIMENEZ ALMUETE.

2. I was born on December 3, 1953 in Barangay Bical,

Science City of Muñoz, Nueva Ecija.

3. My parents failed to register my birth, hence, my desire to

cause the late registration of it with the Local Civil Registrar
of the Science City of Muñoz, Nueva Ecija, the place where
I was born.

4. I have executed this affidavit to attest to the truthfulness of

the foregoing facts, for the late registration of my birth or
any remedy that may be available for me regarding my birth
certificate or for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this

February 5, 2020 at Science City of Munoz, Nueva Ecija.

FRANCISCA QUILANLAN BONAGUA

Affiant
Id. No. 00999
Office of the Senior Citizens Affairs
Dinalungan, Aurora

SUBSBRIBED and SWORN to before me this February 5, 2020 at

Science City of Muñoz, Nueva Ecija and I hereby certify that the affiant has
read the contents of his affidavit and understands the same.

Doc. No.: 485;

Page No.: 98;
Book No.: VII;
Series of 2020.