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    Affidavit Ms. Bolanos

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    Patrio Jr Señeres

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    © All Rights Reserved
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    Affidavit Ms. Bolanos

    Uploaded by

    Patrio Jr Señeres
    32 views2 pages

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    32 views2 pages

    Affidavit Ms. Bolanos

    Uploaded by

    Patrio Jr Señeres

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    Republic of the Philippines )

    Quezon City ) S.S.

    AFFIDAVIT

    I, REMEDIOS D. BONITA – BOLAÑOS of legal age Filipino, married to Vidal D. Nolanos,


    and with residence address at #30 BF Road Brgy. Holy Spirit, Quezon City, after having sworn to
    in accordance with law do hereby deposes and state:

    1. That I am the biological mother of APRIL SHARRON BONITA BOLAÑOS;

    2. That she was born on April 14, 1987 at Sorsogon Provincial Hospital, Macabog,
    Sorsogon, Sorsogon;

    3. That I was the informant of the data/entries on her birth certificate of live birth entered
    under Local Civil Registry No. 87-935 of the Local Civil Registry of Sorsogon on July 3,
    1987;

    4. That when I found out that the name entered was APRIL BONITA BOLAÑOS, I exerted
    effort to supply the information for the supplemental report which should read as APRIL
    SHARRON BONITA BOLAÑOS;

    5. That only as of this date, when I saw the NSO copy of her certificate of live birth, I found
    out that that my supplemental report was never realized and that the name entered
    was still ARPIL BONITA BOLAÑOS;

    6. That I am executing to support whatever legal purpose this may serve with regard to the
    Certificate of Live birth of my daughter and to state that APRIL BONITA BOLAÑOS and
    APRIL SHARRON BONITA BOLAÑOS.

    IN WITNESS WHEREOF, I have hereunto set my hand this 14 TH day of June, 2021 in
    Quezon City.

    REMEDIOS D. BONITA – BOLAÑOS


    Affiant
    ID No. ______________

    SUBSCRIBED AND SWORN TO before me this 14 TH day of June, 2021 in Quezon City.
    Affiant exhibited to me his/her Identification documents as proof of his/her identity.

    Doc. No._____
    Page No._____
    Book No._____
    Series of 2021.

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