You are on page 1of 1

Republic of the Philippines)

City of Tacloban. . . . . .  . . . . )s.s.


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

JOINT AFFIDAVIT

We, JOSHUA FERNAN PALENCIA and DANILO DABAN, both of legal ages,
Filipino and residents of Tacloban City, after having been sworn to hereby depose and
state:

1. That I JOSHUA FERNAN PALENCIA is the registered owner of a motor


vehicle which is particularly described as follows:

Make: SKYGO Engine No.: 161FMJN5127366


Plate No.: 447HQW Chassis No.: LX8PCK507NE022967
MV File No.:0801-00000521719 Year Model: 2022

2. That the original body type of said motor vehicle was Motorcycle without
Sidecar;

3. That I requested the services of DANILO DABAN to attach a sidecar in the


above-mentioned vehicle;

4. That recently, I DANILO DABAN, have attached a sidecar to said motor vehicle,
which attachment was not included in the registration;

5. That the change of body type is not intended for any illegal or unlawful purpose;

6. That we are executing this affidavit to attest to the truth of the foregoing and in
support for the application for the change of the Body Type of said motorcycle to
MOTORCYCLE WITH SIDECAR on its Certificate of Registration.

IN WITNESS WHEREOF, I have hereunto set my hand this _________________


at Tacloban City, Philippines.

JOSHUA FERNAN PALENCIA DANILO DABAN


Affiant Affiant
Driver’s License No: H02-20-002028 Driver’s License No: H02-01-054566

SUBSCRIBED AND SWORN to before me this ________________ at Tacloban


City, Philippines.

Doc. No ____
Page No ____
Book No ____
Series of 2023

You might also like