Republic of the Philippines)

) S.S.

SWORN STATEMENT

We, BERNADETH BABAS Y SAGUN, of legal age, and resident of 911 Camias
Magdangal, San Miguel, Bulacan, and FRANZ JOSEF LIM Y TORRES, of legal age,
and resident of 27 Jasmin St. Gloria III Subd., Brgy. Culiat, Tandang Sora, Quezon City,
after having been sworn to in accordance with law, do hereby declare that:

1. BERNADETH BABAS Y SAGUN was born on 23 September 1988 and

she is currently TWENTY FIVE (25) years old;

2. We have sought the advice of Bernadeth Babas’ parents on our intended

marriage; and

3. Favorable advice has been granted by both of Bernadeth Babas’ parents.

IN WITNESS WHEREOF, we have affixed our signatures this day of

_________________, in _________________.

______________________ ______________________
Bernadeth S. Babas Franz Josef T. Lim
Affiant Affiant

SUBSCRIBED AND SWORN TO before me this _______________ in the City of

_______________, Bernadeth S. Babas exhibiting to me her _______________ ID with
No. _______________ issued by _______________ and which is valid until
_______________; and Franz Josef T. Lim exhibiting to me his _______________ ID
with No. _______________ issued by _______________ and which is valid until
_______________.

Doc. No ____;
Page No.____;
Book No.____;
Series of 2014.