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Republic of the Philippines )

City of Cebu )S.c.

AFFIDAVIT of DECLARATION OF GUARDIANSHIP

I, JAY LUCIO F. AGAD, Filipino, of legal age, married and a resident


of Pleasant Homes Subdivision, Punta Princesa, Cebu City after having been
sworn to on oath in accordance with law, depose and say:

1. That I have in my custody JOMAR REALES who was born on


December 10, 1999 in Valenzuela City;

2. That he has been under my custody because his mother Jocelyn


Reales left him while his father Inoel Guevarra’s whereabouts is
unknown;

3. That he is dependent on me for financial, emotional and


psychological support;

4. That I undertake to take and declare custody of JOMAR REALES


as his guardian due to the incapacity/absence his parents;

5. That this affidavit is executed to attest and confirm the truth of the
foregoing statement and for whatever purpose this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 5 th day of


April 2021 at Cebu City, Philippines.

JAY LUCIO F. AGAD


Affiant
Valid ID ________________________
________________________

SUBSCRIBED AND SWORN to before me this 5th day of April 2021 at


Cebu City, Philippines.

JED CARLO S. LAZAGA


Public Attorney II
(Pursuant to RA 9406)

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