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REPUBLIC OF THE PHILIPPINES )

PROVINCE OF CAVITE ) S.S.


CITY OF DASMARINAS )

JOINT AFFIDAVIT OF TWO (2) DISINTERESTED PERSONS

WE, MENANDRO LIMPIN LUHA and MYRA HADAIN LAKIBOL, both of legal
ages, Filipinos, and residing at Phase 5 Blk 4 Lot 16 Diamond Vill Anabu II-F Imus City Cavite
and Phase 5 Blk 4 Lot 16 Diamond Vill Anabu II-F Imus City Cavite, after having been duly
sworn to in accordance with law hereby deposes and say:

That we are family friends and neighbors of, SATRA SULAY WADJAALAM who was
born on March 13, 2004;

That when we checked the record on her Social Security System (SSS) Account we
found out that her middle name is not on the list but in her application form she written
her middle name “SULAY”

That we hereby attest and testify that his correct and true name is “SATRA SULAY
WADJAALAM”, based on our personal belief and knowledge, as well in his
identification cards;

That SATRA SULAY WADJAALAM and SATRA WADJAALAM, as described


herein, are refers to one and the same persons;

This affidavit is executed for the purpose of attesting our personal knowledge and for all
legal intents and purposes;

IN WITNESS WHEREOF, we have hereunto set our hands this 20 th day of December
2023 at Dasmarinas City, Cavite.

MENANDRO LIMPIN LUHA MYRA HADAIN LAKIBOL


Affiant Affiant
Driver’s License: D23-17-006611 Philhealth ID: 17-025470726-3

SUBSCRIBED AND SWORN to before me on the day and place above-written, affiant
exhibiting to me their ID’s, written below their names.

Doc. No. 380


Page No. 77
Book No. 22
Series of 2023

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