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    Republic of The Philippines) Province of Leyte) Municipality of Palo) S.S

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    Mai pee
    This joint affidavit was signed by Nathaniel Q. Acebo and Ma Elena B. Cirera to correct Ernesto A. Dacara's date of birth in Social Security System (SSS) records. They both personally know Ernesto A. Dacara and can confirm he was born on July 29, 1966 in Barugo, Leyte to Jose B. Dacara and Maria A. Dacara. However, SSS records incorrectly list his date of birth as July 16, 1966. They attest that the person referred to in SSS with the July 16, 1966 date of birth and the person with the correct July 29, 1966 date of birth from the Philippine Statistics Authority certificate are one and

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    Republic of The Philippines) Province of Leyte) Municipality of Palo) S.S

    Uploaded by

    Mai pee
    27 views2 pages
    This joint affidavit was signed by Nathaniel Q. Acebo and Ma Elena B. Cirera to correct Ernesto A. Dacara's date of birth in Social Security System (SSS) records. They both personally know Ernesto A. Dacara and can confirm he was born on July 29, 1966 in Barugo, Leyte to Jose B. Dacara and Maria A. Dacara. However, SSS records incorrectly list his date of birth as July 16, 1966. They attest that the person referred to in SSS with the July 16, 1966 date of birth and the person with the correct July 29, 1966 date of birth from the Philippine Statistics Authority certificate are one and

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    Two Disinterested Persons

    Original Title

    Two Disinterested Persons

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    This joint affidavit was signed by Nathaniel Q. Acebo and Ma Elena B. Cirera to correct Ernesto A. Dacara's date of birth in Social Security System (SSS) records. They both personally know Ernesto A. Dacara and can confirm he was born on July 29, 1966 in Barugo, Leyte to Jose B. Dacara and Maria A. Dacara. However, SSS records incorrectly list his date of birth as July 16, 1966. They attest that the person referred to in SSS with the July 16, 1966 date of birth and the person with the correct July 29, 1966 date of birth from the Philippine Statistics Authority certificate are one and

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    27 views2 pages

    Republic of The Philippines) Province of Leyte) Municipality of Palo) S.S

    Uploaded by

    Mai pee
    This joint affidavit was signed by Nathaniel Q. Acebo and Ma Elena B. Cirera to correct Ernesto A. Dacara's date of birth in Social Security System (SSS) records. They both personally know Ernesto A. Dacara and can confirm he was born on July 29, 1966 in Barugo, Leyte to Jose B. Dacara and Maria A. Dacara. However, SSS records incorrectly list his date of birth as July 16, 1966. They attest that the person referred to in SSS with the July 16, 1966 date of birth and the person with the correct July 29, 1966 date of birth from the Philippine Statistics Authority certificate are one and

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Republic of the Philippines )

    Province of Leyte )
    Municipality of Palo ) S.S.

    JOINT AFFIDAVIT TO TWO DISINTERESTED PERSONS

    We, NATHANIEL Q. ACEBO and MA ELENA B. CIRERA, both


    Filipinos, of legal age, and residents of Brgy. Minuhang, Barugo, Leyte,
    respectively, after having been duly sworn in accordance with law, hereby
    depose and state:

    1. That we both personally know the person of ERNESTO A.


    DACARA, a resident of Brgy. Guindaohan, Barugo, Leyte;

    2. That we also know and we hereby declare that said ERNESTO A.


    DACARA was born on July 29, 1966 at Brgy. Guindaohan, Barugo,
    Leyte to Spouses JOSE B. DACARA and MARIA A. DACARA;

    3. That we both know the fact that ERNESTO A. DACARA is a


    member of Social Security System (SSS);

    4. That per record of SSS, his birthdate was erroneously recorded as


    “JULY 16, 1966” instead of “JULY 29, 1966”;

    5. That a copy of his Certificate of Live Birth issued by the Philippine


    Statistics Authority (PSA), shows the correct record of his birthdate
    which is JULY 29, 1966;

    6. That we attest that the person referred to as ERNESTO A.


    DACARA in the record of the SSS with birthdate of JULY 16, 1966,
    and the ERNESTO A. DACARA with birthdate JULY 29, 1966, is
    one and the same person only;

    7. As such, we execute this Joint Affidavit to attest to the truth of the


    foregoing facts and to correct the error from “JULY 16, 1966” to
    “JULY 29, 1966” in the record of the SSS, and for whatever legal
    purpose it may serve.
    IN WITNESS WHEREOF, we set our hands this at
    Barugo, Leyte Philippines.

    NATHANIEL Q. ACEBO MA ELENA B. CIRERA


    Affiant Affiant
    UMID CRN-0111-7506911-1 UMID CRN-0111-0338035-4

    SUBSCRIBED AND SWORN TO before me this at


    Barugo, Leyte affiants exhibited to me their competent evidence of
    identity.

    Doc. No. _____;


    Page No. _____;
    Book No. _____;
    Series of 2019.

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