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Republic of the Philippines )

Province of Aklan } S.S.


Municipality of Kalibo )

AFFIDAVIT OF LOSS

I, CYRIL C. FRANCISCO, Filipino, of legal age, married, and a resident of Brgy.


Lupit, Batan, Aklan, after having been duly sworn to in accordance with law hereby
depose and say:

1. That I am a holder of Professional Driver License issued by the Land


Transportation Office (LTO) bearing numbers F07-07-000672 which
expired on January 13, 2017;

2. That sometime on December 23, 2016, I lost my wallet where I kept the
said license and my other identification cards;

3. That despite diligent efforts to locate it, the same could no longer be
found and is deemed lost; and

4. That I am executing this affidavit to attest to the truth and veracity of the
foregoing statement;

IN WITNESS WHEREOF, I have hereunto set my hand _______ day of January,


2017 at Kalibo, Aklan, Philippines.

CYRIL C. FRANCISCO
Affiant

SUBSCRIBED AND SWORN TO before me this ______ day of January, 2017 at


Kalibo, Aklan, Philippines. Affiant exhibited to me her Identification Card with EDP
Number 39015300 issued by the Supreme Court of the Philippines.

Doc. No.____;
Page No. ____;
Book No ____;
Series of 2017
Republic of the Philippines )
Province of Aklan } S.S.
Municipality of Kalibo )

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS


RE: ONE AND THE SAME PERSON

WE, CYRIL C. FRANCISCO and ELYN P. URETA, both of legal ages,


Filipinos, married, respectfully and both are residents of Brgy. Lupit, Batan, Aklan, after
having been sworn in accordance with the law hereby depose and state that;

1. We personally know Maria Lusy Macahilig a.k.a. Luz Macahilig


Tulio a.k.a. Ma Luz Macahilig Tulio; who is our longtime neighbor and
acquaintance at Lupit, Batan, Aklan, and the fact of her birth is registered at the
Local Civil Registrar of Batan, Capiz (now Aklan);

2. We know for a fact that the person by the name of “Maria Lusy
Macahilig” as appearing in her Certificate of Live Birth, the name “Luz Macahilig
Tulio” as appearing in her Social Security System (SSS) records, and the name
“Ma Luz Macahilig Tulio” as appearing in her PhilHealth records, refer to one
and the same person and that her true and correct name is Maria Lusy
Macahilig;

3. We are not in any way related to any of the foregoing person within the
fourth civil degree either by consanguinity or affinity, nor do we have any
pecuniary interest in this matter whatsoever;

4. To remove confusion as to the three (3) names, we hereby declare


that the names Maria Lusy Macahilig, Luz Macahilig Tulio, and Ma Luz
Macahilig Tulio refer to one and the same person whose registered name is
Maria Lusy Macahilig;

5. We are executing this affidavit to attest to the truthfulness of the


foregoing statements and to establish the real identity of Maria Lusy Macahilig
and for all legal intents and purposes it may serve.

IN WITNESS WHEREOF, we have hereunto set our hand this 29 th day of March,
2016 at Batan, Aklan, Philippines.

CYRIL C. FRANCISCO ELYN P. URETA


Affiant Affiant
Supreme Court ID No. 39015300 LGU Batan ID No. 0085

SUBSCRIBED AND SWORN TO before me this 29 th day of March, 2016 at


Kalibo, Aklan, Philippines.

Doc. No.____; ATTY. JERALD I. ILEDAN


Page No. ____; Notary Public-Until December 31, 2016
Book No ____; Notarial Commission No. 13 (2015-2016)
Series of 2016 Stall No. 8 Kalibo Public Market, Kalibo, Aklan
PTR No.5055035- Kalibo, Aklan-1/4/2016
Roll No. 59064 IBP O.R. No. 79110, 12-27-2013
MCLE Compliance No. V-0012687/ 12-04-2015
Telephone Number (036) 268-1150
Republic of the Philippines )
Province of Aklan } S.S.
Municipality of Kalibo )

AFFIDAVIT

I, JOCELYN M. ARBOLEDA, Filipino, of legal age, married , and a resident of


Brgy. Pook, Kalibo, Aklan, after having been duly sworn to in accordance with law
hereby depose and say:

5. That I am an applicant for the position of LEGAL RESEARCHER II of


Regional Trial Court, Branch 6, Kalibo, Aklan;

6. That I have no relative(s) within the third civil degree of consanguinity


or affinity who is an incumbent employee in the said branch/office; and

7. That I am executing this affidavit to attest to the truth and veracity of the
foregoing statement;

IN WITNESS WHEREOF, I have hereunto set my hand 29th day of December,


2015 at Kalibo, Aklan, Philippines.

JOCELYN M. ARBOLEDA
Affiant

SUBSCRIBED AND SWORN TO before me this 29 th day of December, 2015 at


Kalibo, Aklan, Philippines. Affiant exhibited to me her Identification Card with EDP
Number 07819500 issued by the Supreme Court of the Philippines.
Republic of the Philippines )
Province of Aklan } S.S.
Municipality of Kalibo )

AFFIDAVIT

I, CYRIL C. FRANCISCO, Filipino, of legal age, single, and a resident of


Brgy. Lupit, Batan, Aklan, after having been duly sworn to in accordance with law
hereby depose and say:

8. That I am an applicant for the position of LEGAL RESEARCHER II


of the Regional Trial Court, Branch 6, Kalibo, Aklan;

9. That I am willing to accept and be appointed under a


temporary appointment if I do not meet the experience and
training requirements; and

10. That I am executing this affidavit to attest to the truth and veracity
of the foregoing statement;

IN WITNESS WHEREOF, I have hereunto set my hand 7th day of


December, 2015 at Kalibo, Aklan, Philippines.

CYRIL C. FRANCISCO
Affiant

SUBSCRIBED AND SWORN TO before me this 7 th day of December,


2015 at Kalibo, Aklan, Philippines. Affiant exhibited to me her Identification Card
with EDP Number 39015300 issued by the Supreme Court of the Philippines.

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