Republic of the Philippines)

Province of Cotabato ) s.s

Municipality of Carmen)

AFFIDAVIT OF CONSENT

I, __________________________________, of legal age, single/married, Filipino

and a resident of _________________________________________________, after
having been duly sworn in accordance with law do hereby depose and say:

1. That I am the owner of the parcel of land registered under

_____________________________________________;

2. That I allow __________________________________, and his family to

occupy the above described parcel of land and built a house therein;

3. That I am also giving my consent to ________________________________

to apply for Electric Connection with Cotabato Electric Cooperative, Inc.,
(COTELCO);

4. I am executing this affidavit to attest to the truth of the foregoing statements

whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this

_____________________ 2019 at Carmen, Cotabato, Philippines.

______________________________
Affiant

SUBSCRIBED AND SWORN to before me this ___________________ 2019 at

Carmen, Cotabato, Philippines.

Doc. No. _____; JOSEPH N. MADRIAGA

Page No. _____; Notary Public
Book No. _____; Until December 31, 2019
Series of 2019. Roll of Attorneys No. 71479;
PTR No. 8814076/07-25-18
IBP O.R. No. 1170/07-18-18