Republic 

of the Philippines )
Province of Palawan )S.S.
City of Puerto Princesa )
  

AFFIDAVIT OF GUARDIANSHIP

            I, _________________, of legal age, single/married/widow,

Filipino citizen, and presently residing at _____________________, after
having been duly sworn to in accordance with law, do hereby depose and
say:

1.  That I am the ___(state relationship)__ and guardian of the following

minor/s who  has / have an interest in the _______________  of the
late _________________________ payable by ________________;

Full Name of Minor/s               Date of Birth                   Age

       _______________                 _________                   ______  
       _______________                 _________                   ______  
       _______________                 _________                   ______  

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

3. That I am competent to receive in behalf of the said minor/s any amount/s

due him/them; and 

4.  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. 

5.  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 ____ day

of _______ 2014 at ______________, Philippines.

                                                                                ________________
                                                                                           Affiant
                                

            SUBSCRIBED AND SWORN to before me this ____ day of ______

2014 in _________, Philippines, affiant exhibiting to me his/her competent
evidence of identity by way of _______________ issued at ___________
on ________________.

Doc No. :  _____                                                             

Page No.: ______                                           
Book No.: ______                                              
Series of 2022