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PROVINCE OF QUEZON )
MUNICIPALITY OF LOPEZ )
AFFIDAVIT OF GUARDIANSHIP
That, on the year 2017 the biological father of JELIAN RESSURECCION, left
their conjugal dwelling, and from then up to present, we have no knowledge of his
whereabouts;
That, I executed this affidavit to prove the veracity of the foregoing facts and in
support of my application for the issuance of PhilHealth Number and the registration of
the Certificate of Live Birth of JACE LIAM ESTRADA at the Local Civil Registry of
Lopez, Quezon.
IN WITNESS WHEREOF, I have hereunto set my hand this 20th day of February
2023 at Lopez, Quezon.