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REPUBLIC OF THE PHILIPPINES)

MALOLOS CITY, BULACAN )SS.

AFFIDAVIT OF BIRTH ORDER

I, ALBERT CASTA CELZO of legal age, Filipino citizen, a resident of No. 24 Mindoro
St. Batasan hills, Quezon City, after having been sworn to in accordance with law hereby
depose and say:

1. My Seventh Daughter CHARITY CANONIZADO CELZO was born on 20TH day of


JULY 2010 as appearing on her Certificate of Live Birth attached as “ANNEX A”;

2. However, the birth order of my Seventh Daughter CHARITY CANONIZADO


CELZO, born on 20TH day of JULY 2010, was erroneously entered as “FIFTH” as
appearing on her Certificate of Live Birth attached as “ANNEX B”;

3. Wherefore, I am executing this Affidavit to attest to the truth of the foregoing


facts as a requisite of my PAG-IBIG Fund Provident Claims and for the correction
of my Seventh Daughter birth order.

IN WITNESS WHEREOF, I have hereunto set my hand on this 1 ST Day of


SEPTEMBER 2022 at MALOLOS CITY, BULACAN

ALBERT CASTA CELZO


Affiant

SUBSCRIBED AND SWORN to before me this 1ST Day of SEPTEMBER 2022 at


MALOLOS CITY, BULACAN. Affiant exhibiting to me his Non-Professional Driver’s License
with License No. A09-18-003697.

Doc. No. _____;


Page No._____;
Book No._____;
Series of 2022

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