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REPUBLIC OF THE PHILIPPINES)

Caloocan City, Metro Manila ) S.S.


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AFFIDAVIT OF TWO DISINTERESTED PERSONS

We, REGINA G. MALIWAT, of legal age, Filipino, and presently residing at Bldg 19
Unit 111 La Mesa, Ugong, Valenzuela City and ISIDRO GONZALES MEJARES, of legal age,
Filipino, and presently residing at Blk3 Lot 17 Rockville Compound, Caloocan City, after having
been duly sworn to in accordance with law, hereby depose and state that:

1. We are friends and neighbors of ROMUALDO GONZALES ABING since 1980


or for more than forty (40) years;

2. We know for a fact that his true and correct first name is ROMUALDO
GONZALES ABING and his birth date is August 11, 1961;

3. We were informed by ROMUALDO GONZALES ABING that in his Social


Security System (SSS) record, his first name was mistakenly indicated as
“LORENZO” instead of “ROMUALDO” and his birth date as “AUGUST 10,
1961” instead of “AUGUST 11, 1961”;

4. ROMUALDO GONZALES ABING who was born on August 11, 1961 as


indicated in his Certificate of Live Birth and ROMUALDO GONZALES ABING
who was born on August 10, 1961 as shown in his SSS record are one and the
same person;

5. We are executing this affidavit in order to publicly confirmed of the foregoing


facts and to explain the discrepancy in the SSS record of ROMUALDO
GONZALES ABING regarding his first name and date of birth and for whatever
legal purpose this may serve.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this ____ day of
__________, ________ at Caloocan City, Metro Manila, Philippines.

REGINA G. MALIWAT ISIDRO GONZALES MEJARES


Senior Citizen ID no. 94842 Senior Citizen ID no. __________

SUBSCRIBED AND SWORN to before me this _____ of __________ 2021 at Caloocan


City, Metro Manila, Philippines, petitioners exhibited to me their valid government issued
identification cards, appearing below their names.

Doc no. ______


Page no.: _____
Book mo.: _____
Series of 2021.

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