Republic of the Philippines )

City of _______________) S.S.
x-----------------------------------x

AFFIDAVIT OF GUARDIANSHIP

         I, _________________________, of legal age, Filipino citizen, and

presently residing at _________________________, after having been duly
sworn to in accordance with law, do hereby depose and say:

1. That I am the _______relationship______ of

_________________________, a minor.

2. That I have lived together with the minor since the latter was born.

3. That the said minor is under my care and custody since his mother

went to _________________________to work. His parents never got
married nor lived together.

3. That currently, his mother is working in

_________________________to support the minor, whereas his
father has a family of his own already.

4. That I am competent to sign and execute any document not prejudicial

to the minor;

4. That I am not an imbecile, insane, a vagrant or a vicious person or

a habitual drunkard or a habitual criminal, and have not
abandoned, neglected or refused to support or caused him
to commit offenses against the law; 

5.  That I am executing this affidavit to attest to the truth of all the

foregoing statements and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this ___ day of

_________________, 2018 at _________________________, Philippines.

_________________________
ID NO. _________________
Affiant
              
            SUBSCRIBED AND SWORN to before me this _______________ in
_________________________City, Philippines, affiant exhibiting to me her
competent evidence of identity as described above.

Doc No. :  _____                                                             

Page No.: ______                                           
Book No.: ______                                              
Series of 2018.