Republic of the Philippines

City of Cebu ) S.S.

JOINT AFFIDAVIT OF DELAYED REGISTRATION OF MARRIAGE

We, JACQUELINE C. TAN AND CARLO M. SAINZ, both of legal age, Filipino,
and with residence and postal address at #7 Fagara Street, North Town Homes,
Nasipit, Talamban, Cebu City, after having been duly sworn to in accordance with law,
hereby depose and say:

1. That we are the applicant for the delayed registration of marriage of -

JACQUELINE C. TAN AND CARLO M. SAINZ;
2. That we were married on September 16, 2016 at __________;
3. That at the time of marriage, we were Filipino citizens;
4. That the reason for the delay in registering our marriage was due to
_____________________________;
5. That we are executing this affidavit to attest to the truth to all the above facts.

IN WITNESS HEREOF, I have hereunto signed my name below this

__________________ at Cebu City, Philippines.

JACQUELINE C. TAN
Affiant

CARLO M. SAINZ
Affiant

SUBSCRIBED AND SWORN TO BEFORE ME this ____________, affiants

exhibited to me their Passport ID’s with ID Number P0712934A and P9626565A
respectively.

Doc No.___
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Series of 2021