REPUBLIC OF THE PHILIPPINES)

PROVINCE OF OCC. MINDORO)S.S

MUNICIPALITY OF SABLAYAN)

AFFIDAVIT OF GUARDIANSHIP

            I, ANITA SALGADO-CONDE, of legal age, married, Filipino citizen, and presently

residing at Buenavista, Sablayan, Occidental Mindoro, after having been duly sworn to in
accordance with law, do hereby depose and say:

1.  That I am the guardian of (minor) ANDREA FAYE SALGADO, she was interest to avail
Scholarship of (DOST);

2.  That the above mentioned minor/s is/are under my care and custody; 

3.  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 said minor/s or
caused him/them to commit offenses against the law. 

4.  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 23 rd day of August 2018 at
Sablayan, Occ. Mindoro, Philippines.

ANITA SALGADO-CONDE
                       Affiant
                                                                         

            SUBSCRIBED AND SWORN to before me this 23rd day of August 2018 in Sablayan,
Occ. Mindoro, Philippines, affiant exhibiting to me her CTC No. ____________________ issued
on _____________________ at Sablayan, Occidental Mindoro.

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