REPUBLIC OF THE PHILIPPINES) ——— AFFIDAVIT OF KINSHIP. L Cipriano Delfin. Filipino, of legal age, and residing at Concencis Parttan. Cant ree ae having been duly swom in accordance with law, hereby depose and state: That I am the nearest. «surviving = relative ofthe Margarita D. Delfin who was bom on September 26,1959 2. That Margarita D. Delfin died on 29" gay of ——March__, 20_21 ; oe 3. That the abovenamed decedent did not leave a surviving spouse or any children; 4. That this affidavit is made in support of the undersigned’s request for the release of certified true copy of the Certificate of Death of the abovenamed decedent; ‘That this affidavit is ‘executed pursuant to the Philiopine Statistics Authority's Memorandum ‘Greular No. 2019-15 in accordance with Republic Act No. 10173, otherwise known as the ata Privacy Act of 2012"; : 6. Tht I am executing this affidavit in good faith to attest to the truth of the foregoing statements for whatever legal purpose or intent It may serve. win aati per Heer 1 ~ — affixed my signature this CIPRIANO DELFIN ‘Affiant SUBSCRIBED AND SWQN before me this