Affidavit of Identity

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REPUBLIC OF THE PHILIPPINES )


SAN JOSE DEL MONTE, BULACAN) SS

JOINT AFFIDAVIT

We, DIMAS MARAYAG AZURIN and GINA ARTAZO


DELABAHAN, both Filipinos, of legal age, with residences at B55 42 Harmony
Hills I San Jose Del Monte, Bulacan and #25 Don Raymundo St., San Agustin
Village, Brgy. Talipapa, Quezon City, respectively, after having been duly
sworn to in accordance with law, hereby depose and state that:

1. We have known the deceased ROSITA P. UY, resident of Blk. 32


Lot 10 Middle East, Harmony Hills, San Jose del Monte Bulacan at
the time of her death, through her daughter MICHELLE LEIANN
DELA PAZ UY. Attached herewith is the Certificate of Live Birth
of Michelle Leiann Dela Paz Uy as Annex “A”;

2. We know that the names MICHELLE LEIANN DELA PAZ UY


and MICHELLE LEIANNE DELA PAZ UY refer to one and the
same person;

3. We know that when she secured a Philippine Passport at the


Department of Foreign Affairs, she obtained a copy of her birth
certificate and found out that the name on her birth certificate was
CARIDAD UY, hence her name in her passport appeared as
CARIDAD UY. Attached herewith is the birth certificate of
Caridad Uy as Annex “B”, and her passport as Annex “C”
respectively;

4. We know that the names ROSITA P. UY, as shown in the Birth


Certificate herewith attached as Annex “D” and in the
aforementioned Annex “A”, CARIDAD UY, as shown in the
aforementioned Annexes “B” and “C”, and ROSITA DELA PAZ
UY, as shown in the Certificate of No Marriage (CENOMAR) and
in the Certificate of date respectively attached as Annexes “E” and
“F”, all refer to one and the same person;

5. That we are executing this joint affidavit to attest to the truth of the
foregoing, and to support the request of MICHELLE LEIANN
DELA PAZ UY to claim insurance benefits of ROSITA P. UY for
the payment of PAGIBIG loan.

IN WITNESS WHEREOF, we have hereunto affixed our signatures


below this ______ day of _________, 2017 at _____________________.

DIMAS MARAYAG AZURIN GINA ARTAZO DELABAHAN


Affiant Affiant
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SUBSCRIBED AND SWORN TO BEFORE ME, this _____ day of


___________ 2017, at ___________________________, affiants exhibiting to
me the following competent proofs of identity:

DIMAS MARAYAG AZURIN


Professional Driver’s License No. N02-00-435440,
expiring on November 9, 2017

GINA ARTAZO DELABAHAN


SSS ID No. 33-0958168-3, issued at Novaliches, Quezon City

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