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Republic of the Philippines)

Province of Surigao del Sur)


City of Tandag) S.S.

AFFIDAVIT OF LEGITIMATION

We, Spouses JOSEPITO L. CAGAMPANG and JUDITH C. CAGAMPANG, of


legal age and residents of Awasian, Tandag City, Surigao del Sur, state under oath,
THAT:

1. We are the biological parents of JOHN VINCENT C. CAGAMPANG, born on


November 1, 2003;

2. John Vincent was born before our marriage, as we have been living together
as common law partners since year 2002. Hence, he was considered illegitimate child;

3. On October 28, 2009, we married each other at the Office of the Municipal
Mayor, Tandag City, Surigao del Sur;

4. Having been legally married, John Vincent has acquired legitimate status by
virtue of law;

5. We are executing this affidavit to affirm the legitimate status of our child,
named above, and modify the existing records and status in this act of legitimation.

IN WITNESS WHEREOF, we have hereunto set our hands this 4 th day of June
2015, in Tandag City, Surigao del Sur, Philippines.

JOSEPITO L. CAGAMPANG JUDITH C. CAGAMPANG


Affiant Affiant

SUBSCRIBED AND SWORN TO BEFORE ME, a Notary Public for and in the
Province of Surigao del Sur, this 4 th day of June 2015, in Tandag City, Surigao del Sur,
the affiants personally appeared and affixed their signatures and presented their ID’s as
proof of identities .

ANDREI ARREZA ANDRESAN


Notary Public
Until December 31, 2015
IBP No. 811366; Jan. 5, 2015; Surigao del Sur
PTR No. 5427379; Jan. 6, 2015; Surigao del Sur
IBP Roll No. 41883
MCLE Compliance No. IV-0013490
Misc. Case No. 05-2014

Doc. No. ____; Page No. ____; Book No. XXX; Series of 2015

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