Republic of the Philippines ]

Province of Surigao del Sur ] s.s.

x------------------------------------x

AFFIDAVIT OF GUARDIANSHIP

I, ALVINSITO P. ARREZA, of legal age, single/married/widow, Filipino citizen, and presently residing at Aras-
asan, Cagwait, Surigao del Sur, after having been duly sworn to in accordance with the law, do hereby depose and say.
1. That I am the UNCLE and GUARDIAN of the following minor/s who has/have Participated in the Caraga
Regional Athletic Meet (CRAM) on February 24-March 1, 2018.
Full Name of Minor/s Date of Birth Age
KYLE L. ARREZA MAY 29, 2005 12
__________________________________ ______________________ ______________
__________________________________ ______________________ ______________
__________________________________ ______________________ ______________
2. That the above mentioned minor/s is/are under my care and custody,
3. That I willingly and voluntarily give consent to my __________________ to participate in the said activity,
and
4. That I am not an imbecile, insane, a vagrant or a vicious person or habitual drunkard or a habitual criminal,
and have not abandoned, neglected or refused to support said minor/s or caused him/her/them to commit
offenses against the law
5. That I am executing this affidavit to attest to the truth of all the foregoing statements and for Regional Meet
and Palarong Pambansa purposes only.

IN WITNESS WHEREOF, I have hereunto set my hand this _23rd_ day of _January___________,
2018 at _____Tandag City______________________, Philippines.

ALVINSITO P. ARREZA
Affiant

SUBSCRIBED AND SWORN to before me this __23rd__ day of ________January___________ in

_______Tandag City____________, Philippines, affiant exhibiting to me his/her competent evidence of identity by way of
________03263683______________ issued at ARAS-ASAN, CAGWAIT, SDS on January 06, 2018.

__________________________
Legal Officer