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Joint Affidavit of Two Disinterested Persons: Affiant Affiant
Joint Affidavit of Two Disinterested Persons: Affiant Affiant
We, JAMJON CALEM MALDON and REY JOMAWAN SOBERANO both of legal age,
Filipinos, and residents of San Roque and Malagutay, Zamboanga City, Philippines,
respectively, after having been sworn, hereby depose and state:
1. That we know the person of JANALYN CRUZ RESOR, who was born on February
19, 1994 at Zamboanga City;
2. That her true and correct full name is JANALYN CRUZ RESOR, as reflected in
her NSO Authenticated Certificate of Live Birth;
3. That however, in her Zamboanga City Medical Center Hospital Record, her
middle name was erroneously placed therein as “PILAR” instead of her true and
correct Middle Name of “CRUZ” as appearing in her PHILIPPINE HEALTH
INSURANCE CORPORATION (PHILHEALTH) Record and in her NSO
Authenticated Certificate of Live Birth;
4. That the error may have been caused by the inadvertence of the person who
prepared her PHILHEALTH record;
5. That the names “JANALYN CRUZ RESOR” in the Certificate of Live Birth and
PhilHealth Record, and “JANALYN PILAR RESOR” as erroneously appearing in
the Hospital Record, REFERS TO ONE AND THE SAME PERSON;
6. That we are not related to the said person either by consanguinity or affinity;
SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and for City of
Zamboanga this 13th day of October, 2015. Affiants personally came and appeared with
COMMELEC ID CAR bearing VIN no. 7332-0562A-A0957JCM10000 and PHILHEALTH
ID CARD bearing NO. J04-13-001658, respectively, bearing their photographs and
signatures, known to me and to me known to be as the same persons who personally
signed the foregoing instrument before me and avowed under penalty of law to the whole
truth of the contents of said instrument.
We, ROHILYN S. SASAPAN and SANCHEZ O. SALIALAM, both of legal age, Filipinos,
and residents of Baliwasan Grande, Zamboanga City, Philippines, after having been sworn,
hereby depose and state:
8. That we know the person of BENHAR MISUARI JULHUSIN, who was born on
April 13, 1967 at Buroh, Talipao, Sulu;
9. That his true and correct full name is BENHAR MISUARI JULHUSIN, as reflected
in his CERTIFICATE OF LIVE BIRTH;
11. That the error may have been caused by the inadvertence of the person who
prepared his PHILHEALTH record;
13. That the names BENHAR MISUARI JULHUSIN in the Certificate of Live Birth,
JULHUSIN MISUARI BENHAR as erroneously appearing in the PHILHEALTH
Record, and BENHAR MESUARI JULHUSIN as also appearing in the hospital
record, REFERS TO ONE AND THE SAME PERSON;
14. That we are not related to the said person either by consanguinity or affinity;
15. That we execute this affidavit to attest to the truthfulness of the foregoing
statements and for whatever legal purpose or purpose this may serve under the
law.
SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and for City of
Zamboanga this 3rd day of September, 2015. Affiants personally came and appeared with
PRC ID CARD NO. 902744520 and PROFESSIONAL DRIVER’S LICENSE CARD NO. J04-
08-003797, respectively, bearing their photographs and signatures, known to me and to
me known to be as the same persons who personally signed the foregoing instrument
before me and avowed under penalty of law to the whole truth of the contents of said
instrument.
We, OMAR H. WALI and KHALID M. AMILHAMJA, both of legal age, Filipinos, and
residents of Guiwan and Upper Calarian, Zamboanga City, Philippines, respectively, after
having been sworn, hereby depose and state:
16. That we know the person of TURKI ABDULLA MARAIL, who was born on July 1,
1984, through Spouses Onyoh Marail and Vilma Abdulla;
17. That his true and correct full name is TURKI ABDULLA MARAIL, as reflected in his
CERTIFICATE OF LIVE BIRTH;
19. That the error may have been caused by the inadvertence of the person who
prepared his PHILHEALTH record;
20. That the names TURKI ABDULLA MARAIL in the Certificate of Live Birth and
TURKI SALIYA MARAIL as erroneously appearing in the PHILHEALTH Record,
REFERS TO ONE AND THE SAME PERSON;
21. That we are not related to the said person either by consanguinity or affinity;
22. That we execute this affidavit to attest to the truthfulness of the foregoing
statements and for whatever legal purpose or purpose this may serve under the law.
SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and for City of
Zamboanga this 28TH day of August, 2015. Affiants personally came and appeared with
VALID ID. bearing NO. __________________________________________ and
________________________________________,respectively, bearing their photographs and signatures,
known to me and to me known to be as the same persons who personally signed the
foregoing instrument before me and avowed under penalty of law to the whole truth of the
contents of said instrument.
We, RICKY MANALO MANUEL and CARMELITO MARCOS CORONEL, both of legal
age, Filipinos, and residents of Gov. Alvarez St. and Manicahan, Zamboanga City,
Philippines, respectively, after having been sworn, hereby depose and state:
23. That we know the person of the late MARIA DELIA S. FERMIN, who was a resident
of Cabato Road, Veterans Ave., Zamboanga City;
24. That her true and correct full name is MARIA DELIA S. FERMIN, as reflected in her
Social Security System (SSS) Record;
25. That however, in her Death Certificate, her first name was abbreviated, thus,
erroneously appears to be “MA.” instead of “MARIA” which is her complete and
correct first name;
26. That the error may have been caused by the inadvertence of the person who
prepared his death certificate;
27. That the names MARIA DELIA S. FERMIN in the SSS Record and MA. DELIA S.
FERMIN as erroneously appearing in the Death Certificate, REFER TO ONE AND
THE SAME PERSON;
28. That we are not related to the said person either by consanguinity or affinity;
29. That we execute this affidavit to attest to the truthfulness of the foregoing
statements and for whatever legal purpose or purpose this may serve under the law.
SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and for City of
Zamboanga this _____________________. Affiants personally came and appeared with NON-
PROFESSIONAL DRIVER’S LICENSE CARD bearing NO. J04-14-006814 and SSS ID CARD
bearing NO. 10-0752936-3, respectively, bearing their photographs and signatures,
known to me and to me known to be as the same persons who personally signed the
foregoing instrument before me and avowed under penalty of law to the whole truth of the
contents of said instrument.
We, ARNALDO REBOLLOS ROJAS and CRISTETEA G. IBNO, both of legal age,
Filipinos, and residents of Talon-Talon and Pasonanca, Zamboanga City, Philippines,
respectively, after having been sworn, hereby depose and state:
30. That we know the person of CASSIE MARIE BUTALID UNSANG, born on April
14, 2015 at Dipolog City;
31. That her true and correct first name is “CASSIE” as reflected in her PhilHealth
Record;
32. That however, in her hospital record in Zamboanga City Medical Center, her first
name erroneously appears to be “CASA” instead of “CASSIE”;
33. That likewise, her middle name also erroneously appears to be “KIT” instead of
“BUTALID” which is her true and correct middle name;
34. That the error in the name of the aforesaid child may have been caused by the
inadvertence of the person encoding and updating the NEW PhilHealth
Membership Record of her mother JELYN BUTALID UNSANG;
35. That the names CASSIE MARIE BUTALID UNSANG in the PhilHealth Record and
CASA MARIE KIT UNSANG in the hospital record at ZCMC, REFERS TO ONE
AND THE SAME PERSON;
36. That we are not related to the said person either by consanguinity or affinity;
37. That we execute this affidavit to attest to the truthfulness of the foregoing
statements and for whatever legal purpose or purpose this may serve under the
law.
4. That the discrepancy in the name of the aforesaid person may have
been due to the inadvertence of the person encoding the information
in the death certificate;
5. That the names RENIE AGUILAR FERNANDEZ in the SSS Record
and REYNERIO AGUILAR FERNANDEZ in the Death Certificate,
REFERS TO ONE AND THE SAME PERSON;
6. That we are not related to the said person either by consanguinity or
affinity;
7. That we execute this affidavit to attest to the truthfulness of the
foregoing statements and for whatever legal purpose or purpose this
may serve under the law.
46. That in all her private and public documents including her
Baptismal Certificate, her first name appears as “ANJELYN”;
51. That we know the person of the ELENA APAG EPON who was
born on March 17, 1955 through spouses BALDOMERO
EPON and ELEUTERIA APAG;
52. That in her Social Security System (SSS) ID, COMELEC Voter’s
ID and Marriage Contract with LEONARDO PACULBA, her
name appears as ELENA;
54. That she has been using the name ELENA on the belief that
such is her true and correct name;
61. That we know the person of the late CLARU ALIANGAN, from Sta. Maria,
this city;
62. That in his SSS records, it appeared that he died at the age of Ninety Two
(92) years old;
63. However, in his Certificate of Death, his age at the time of his death was
entered as Eighty One (81) years old;
64. That the names CLARU ALIANGAN, with age of Eighty One (81) years old
in the Certificate of Death and CLARU ALIANGAN with age of Ninety Two
(92) years old in the SSS Record, refer to one and the same person;
65. That we are not related to the said person either by consanguinity or
affinity;
67. That we know the person of the late CLARU ALIANGAN, from Sta. Maria,
this city;
68. That in his SSS records, it appeared that he died at the age of Ninety Two
(92) years old;
69. However, in his Certificate of Death, his age at the time of his death was
entered as Eighty One (81) years old;
70. That the names CLARU ALIANGAN, with age of Eighty One (81) years old
in the Certificate of Death and CLARU ALIANGAN with age of Ninety Two
(92) years old in the SSS Record, refer to one and the same person;
71. That we are not related to the said person either by consanguinity or
affinity;
76. That the names CONCORDIA EBIAS TEE in the Certificate of Death and
CONCORDIA L. EBIAS-TEE in the SSS Record, refer to one and the
same person;
77. That we are not related to the said person either by consanguinity or
affinity;
1. That we know the person of JOSE L. TAN, who died on March 4, 2014;
2. That in his SSS records, it appeared that he died at the age of Sixty Nine
(69) years old;
3. However, in his Certificate of Death, his age at the time of his death was
entered as Fifty Eight (58) years old;
4. That the names JOSE L. TAN, with age of Fifty Eight (58) years old in
the Certificate of Death and JOSE L. TAN with age of Sixty Nine (69)
years old in the SSS Record, refer to one and the same person;
8. That his true and correct name is RICARDO GEDALANGA SEVILLA, JR.,
as reflected in his EE per SSS record;
11. That the discrepancy in his Death Certificate may have been caused by
the inadvertence of the person preparing the same;
12. That the names RICARDO G. SEVILLA in the Certificate of Death and
RICARDO GEDALANGA SEVILLA, JR. in the SSS Record, refer to one
and the same person;
13. That we know the said person since we have been long time friends
before his death;
We, FISAL KIRAM and ARMILET AQUINO, both of legal age, Filipinos,
and residents of Sinunuc, Zamboanga City, after having been sworn, hereby
depose and state:
15. That we know the person of LEVIE D. DELA CRUZ who died on March
26, 2013;
16. That in his SSS records and other pertinent documents, it appeared that
he died at the age of Thirty Eight (38) years old;
17. However, in his Certificate of Death, his age at the time of his death was
erroneous entered as thirty three (33) years old;
18. That it is only in his Certificate of Death that his age appears to be 33
years old. In all other records, his age appears as, and truly is, 38 years
old;
19. That we know the said person since we have been neighbors and close
family friends for more than ten (10) years;
We, IAN LIM and ROY PEREZ, both of legal age, Filipinos, and residents
of Pasobolong, Zamboanga City, after having been sworn, hereby depose and
state:
7. That we know the said person since we have been neighbors and close
family friends for more than ten (10) years;
9. That in his SSS records, it appeared that he died at the age of Seventy
Four (74) years old;
10. However, in his Certificate of Death, his age at the time of his death was
entered as Seventy Seven (77) years old;
11. That the names ULYSSES CAMUNIAS, with age of Seventy Seven (77)
years old in the Certificate of Death and ULYSSES CAMUNIAS with age
of Seventy Four (74) years old in the SSS Record, refer to one and the
same person;
12. That we are not related to the said person either by consanguinity or
affinity;
80. That in his SSS records, it appeared that he died at the age of Ninety Two
(92) years old;
81. However, in his Certificate of Death, his age at the time of his death was
entered as Eighty One (81) years old;
82. That the names CLARU ALIANGAN, with age of Eighty One (81) years old
in the Certificate of Death and CLARU ALIANGAN with age of Ninety Two
(92) years old in the SSS Record, refer to one and the same person;
83. That we are not related to the said person either by consanguinity or
affinity;
88. That the names CONCORDIA EBIAS TEE in the Certificate of Death and
CONCORDIA L. EBIAS-TEE in the SSS Record, refer to one and the
same person;
89. That we are not related to the said person either by consanguinity or
affinity;
21. That we know the person of JOSE L. TAN, who died on March 4, 2014;
22. That in his SSS records, it appeared that he died at the age of Sixty Nine
(69) years old;
23. However, in his Certificate of Death, his age at the time of his death was
entered as Fifty Eight (58) years old;
24. That the names JOSE L. TAN, with age of Fifty Eight (58) years old in
the Certificate of Death and JOSE L. TAN with age of Sixty Nine (69)
years old in the SSS Record, refer to one and the same person;
25. That we are not related to the said person either by consanguinity or
affinity;
28. That his true and correct name is RICARDO GEDALANGA SEVILLA, JR.,
as reflected in his EE per SSS record;
29. That however, in his Certificate of Death, his name erroneously appeared
to be RICARDO G. SEVILLA;
30. That it is only in his Certificate of Death that his name appears to be
RICARDO G. SEVILLA. In all other records, his name appears as, and
truly is, RICARDO GEDALANGA SEVILLA, JR.;
31. That the discrepancy in his Death Certificate may have been caused by
the inadvertence of the person preparing the same;
32. That the names RICARDO G. SEVILLA in the Certificate of Death and
RICARDO GEDALANGA SEVILLA, JR. in the SSS Record, refer to one
and the same person;
33. That we know the said person since we have been long time friends
before his death;
We, FISAL KIRAM and ARMILET AQUINO, both of legal age, Filipinos,
and residents of Sinunuc, Zamboanga City, after having been sworn, hereby
depose and state:
35. That we know the person of LEVIE D. DELA CRUZ who died on March
26, 2013;
36. That in his SSS records and other pertinent documents, it appeared that
he died at the age of Thirty Eight (38) years old;
37. However, in his Certificate of Death, his age at the time of his death was
erroneous entered as thirty three (33) years old;
38. That it is only in his Certificate of Death that his age appears to be 33
years old. In all other records, his age appears as, and truly is, 38 years
old;
39. That we know the said person since we have been neighbors and close
family friends for more than ten (10) years;
We, IAN LIM and ROY PEREZ, both of legal age, Filipinos, and residents
of Pasobolong, Zamboanga City, after having been sworn, hereby depose and
state:
10. That in his SSS records and other pertinent documents, his name
appears as REGALITO U. RAMACHO, SR.;
12. That it is only in her Certificate of Death that his name appears as
REGALITO SR U. RAMACHO. In all other records, his name appears as,
and truly is, REGALITO U. RAMACHO, SR.;
2. That her true and correct full name is MARIA CONCEPCIO SENOGBOJAN
PERGONE, as reflected in her SOCIAL SECURITY SYSTEM (SSS) Record;
3. That however, in her DEATH CERTIFICATE, her name was erroneously placed
therein as “MARIA CONCEPCION SINOGBUHAN PERGONE” inconsistent with
her correct name “MARIA CONCEPCIO SENOGBOJAN PERGONE” reflected in
her SOCIAL SECURITY SYSTEM (SSS) Record;
4. That the error may have been caused by the inadvertence of the person who
prepared her DEATH CERTIFICATE record;
6. That we are not related to the said person either by consanguinity or affinity;
SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and for City of
Zamboanga this 17th day of September, 2015. Affiants personally came and appeared with
NON-PROFESSIONAL DRIVER’S LICENSE CARD NO. J04-14-007463 and NON-
PROFESSIONAL DRIVER’S LICENSE CARD NO. JO4-14-006814, respectively, bearing
their photographs and signatures, known to me and to me known to be as the same
persons who personally signed the foregoing instrument before me and avowed under
penalty of law to the whole truth of the contents of said instrument.
1. That we know the person of the late RODOLFO S. ENRIQUEZ, who died on
August 14, 2015 with prior residence at Villa Sta. Maria, Zamboanga City;
2. That his true and correct DATE OF BIRTH is “April 12, 1956” as reflected in his
SOCIAL SECURITY SYSTEM (SSS) Record;
3. That however, in his DEATH CERTIFICATE, his birth date was erroneously
placed therein as “APRIL 17, 1956” inconsistent with her correct birth date of
“April 12, 1956” as reflected in his SOCIAL SECURITY SYSTEM (SSS) Record;
4. That the error may have been caused by the inadvertence of the person who
prepared his DEATH CERTIFICATE;
5. That the names RODOLFO S. ENRIQUEZ who was born on “APRIL 17, 1956”
appearing in the Death Certificate and RODOLFO S. ENRIQUEZ who was born on
“April 12, 1956” as appearing in the SSS Record, REFERS TO ONE AND THE
SAME PERSON;
6. That we are not related to the said person either by consanguinity or affinity;
SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and for City of
Zamboanga this 17th day of September, 2015. Affiants personally came and appeared with
SOCIAL SECURITY SYSTEM’S ID CARD NO. 10-0752936-3 and PNP FIREARM LICENSE
CARD CONTROL NO. I-F029069, respectively, bearing their photographs and signatures,
known to me and to me known to be as the same persons who personally signed the
foregoing instrument before me and avowed under penalty of law to the whole truth of the
contents of said instrument.