REPUBLIC OF THE PHILIPPINES )

PROVINCE OF BATAAN )
MUNICIPALITY/CITY OF HERMOSA )

AFFIDAVIT OF GUARDIANSHIP

I, CATALINA S. MORALES of legal age, WIDOW and presently residing at NO. 230 PUROK 4,
MANDAMA HERMOSA, BATAAN, after being duly sworn to in accordance with law, depose and
state:

1. That I am the GUARDIAN of the minor named below

Name of minor: DIANA H. MORALES

Date of Birth: DECEMBER 6, 2000

Place of Birth: HERMOSA, BATAAN

2. That I am the guardian of the above-named minor since 2009;

3. That the said minor is under my care and custody;

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 or caused him to commit
offenses against the law.

Done this October 30, 2020 at Mandama, Hermosa, Bataan.

CATALINA S. MORALES
Affiant

SUBCRIBED AND SWORN to before me, this October 30, 2020 at Mandama, Hermosa, Bataan,
affiant exhibiting to me his/her valid government ID____________________, issued on
__________________ at _________________________.

NOTARY PUBLIC
Doc. No. __________
Page No.__________
Book No.__________
Series of __________