REPUBLIC OF THE PHILIPPINES )

QUEZON CITY ) S.S

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

We, ANA PLANTILLA NARES, Filipino, of legal age, married and a resident of
176 Area 5, Sitio Mendez, Baisa, Quezon City, and RHEA ALMA V. ORIA, Filipino, of
legal age, married and a resident of 125 Area 5, Sitio Mendez, Baisa, Quezon City, after
having been duly sworn to in accordance with law, hereby depose and state, that:

1. We personally know NESTOR PELLAZAR, a member of the Social

Security System with SSS No. 03-7814843-2. He was born on February 27,
1965 in Catungahan, Bohol. A copy of his Certificate of Live Birth is hereto
attached as ANNEX “A” hereof;
2. The reason we personally know him is that we have been neighbors and
friends for almost eighteen (18) years now;
3. By virtue of our close association with Nestor, we can attest to the fact that
since Grade 1, he has consistently used the name NESTOR ARANAY
PELLAZAR and has been known as such in all his school and other records;
4. Accordingly, when he applied for membership with the Social Security Sytem
(SSS) sometime in 1983 through Personal Data Form (E1), he declared in good
faith his name as NESTOR ARANAY PELLAZAR. Actually, his middle name
and surname are that of his mother’s.
5. It was only when he secured his Certificate of Live Birth from the Philippine
Statistics Authority (formerly National Statistics Office) and his Philippine
Passport from the Department of Foreign Affair (DFA)-Manila that he learned
for the first time that his true and correct name is NESTOR PELLAZAR.
6. To be candid, Nestor was born out of wedlock thus, illegitimate at the time of
his birth. In addition, his parents, FELICIANA PELLAZAR and BONIFACIO
SAGUSAY, never cohabited or lived together;
7. That the names, “NESTOR ARANAY PELLAZAR” (as appearing in his SSS
Records) and “NESTOR PELLAZAR (per his Certificate of Live Birth), both
refer to one and the same person, the latter being his correct and true name.

That we are executing the foregoing Joint Affidavit in order to attest to the truth that
the names, NESTOR ARANAY PELLAZAR, as per his records with the SSS and
NESTOR PELLAZAR per his Certificate of Live Birth, refer to one and the same person,
the latter being his true and correct name in support of his request for the omission of his
middle name and for the issuance of a Unified Multi-Purpose Identification (UMID) Card
with the SSS and for whatever legal purpose this may serve.

Further affiants sayeth none.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 24 th day of

May 2017 in Quezon City.

ANA PLANTILLA NARES RHEA ALMA V. ORIA

Affiant Affiant
Philippine Passport ID No. EC1994046 ID No. 137404005-9439-00070
Issued on Aug. 29, 2014 Issued by DSWD

1
 SUBSCRIBED AND SWORN TO before me, a Notary Public for and in Quezon
City, this 24th day of May 2017, affiants having exhibited their respective identification
cards, the details of which are stated above.

Witness my hand and seal on the date and place written above.

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