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Republic of the Philippines)

City of Cebu------------------) S.S.

AFFIDAVIT

I, ANTONIA ARCAIOS JIMENEZ, of legal age, single, Filipino


citizen and a resident of Tuburan, Cebu, after having been duly sworn to in
accordance with law, do hereby depose and say:

1. That I am a Roman Catholic having been baptized by virtue of the


Sacrament of Holy Baptism in the Archdiocesan Shrine of San
Antonio de Padua, Tuburan Cebu on August 28, 1969;

2. I was born on June 03, 1969 in Tuburan Cebu to Spouses ARTORO


YULDAN ARCAIOS and PURCENA BELLIAGONSALO
FERNANDEZ;

3. That on May 18, 2021, I went to the Archdiocesan Shrine of San


Antonio de Padua, Tuburan Cebu supposedly to get my Baptismal
Certificate but no record of my baptism was found;

4. I hereby testify and attest to the truth that I am a Baptized Roman


Catholic having been baptized at Archdiocesan Shrine of San
Antonio de Padua Tuburan on August 28, 1969 and was
solemnized by Rev. Fr. Isabelo Banzon ;

5. That I am executing this affidavit to attest to the truth of the


foregoing facts and for all other legal purposes that this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 18 May


2021 at Cebu City.

ANTONIA ARCAIOS JIMENEZ


Affiant

SUBSCRIBED AND SWORN to before me this 18 May 2021 at Cebu


City. Affiant exhibiting to me TIN ID with ID No. 383-095-431-000, as her
competent evidence of identity.

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