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AFFIDAVIT OF LATE REGISTRATION (Join)

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REPUBLIC OF THE PHILIPPINES)

QUEZON CITY ) S.S.

AFFIDAVIT OF LATE REGISTRATION OF


(2) TWO DISENTERESTED PERSON

We, Maranatha A. Santos , legal age Filipino and residing at 38 B Lakandula St., Brgy.
Marilag, Quezon City and Naomi Grace Hamilton , residing at 154 A Bonifacio St. Brgy.
Hagdang – Bato, Mandaluyong City , under oath depose and say;

That we personally know CRIZHA SHANE NICOLE GONZALGO born on


February 13, 2005 at 92-A Ilang Drive, Deparo, Caloocan City to her mother CHARITY
CARORO GONZALGO ;

That recently Ms. CHARITY CARORO GONZALGO requested a copy of Certificate


of Live Birth at National Statistics Office (NSO), she found out that the abovementioned
daughter of her have no record (Negative Certification of Birth);

That we are executing this affidavit in order to attest the truth of the foregoing facts and
for the application of birth certificate registration of CRIZHA SHANE NICOLE GONZALGO
and for all legal intents / purpose it may serve.

IN WITNESS WHEREOF, we have hereunto set our hand on this _________ day of
______________ at Quezon City, Philippines.

Maranatha A. Santos Naomi Grace Hamilton

Affiant Affiant
Student No.2k4-040009-7 Passport No. 158601239
Issued on June 4 2004 Issued on July 6,1998
At Republic of the Philippines PUP NOC Campus At United Staes National
Passport Center

SUBSCRIBED AND SWORN to before me this ___ day of ________________ 2008 at


___________________________ affiant exhibiting to me their Community Tax Cert. Nos.
indicated below their names.

Doc. No.: _____________ NOTARY PUBLIC


Page No.: _____________
Book No.: _____________
Series of 2008
SUBSCRIBED AND SWORN to before me this ____ day of July 2006 at Quezon City,
Philippines, affiant exhibiting to me their CTC Nos. _________________ issued at
__________________ on _____________.

Doc. No.: _____________ NOTARY PUBLIC


Page No.: _____________
Book No.: _____________
Series of 2006

REPUBLIC OF THE PHILIPPINES)


QUEZON CITY ) S.S.

AFFIDAVIT OF LOSS

That, CONSOLIDATED BUILDING MAINTENANCE INC., with business address


at #600 Ground Floor Jovan Condo Bldg., Shaw Blvd., Mandaluyong City, after having been
duly sworn to in accordance with law, hereby depose and say that:

That we issued Manager’s Check to GREENFIELD DEVELOPMENT CORP.,


amounting to Sixty Three Thousand Seven Hundred Fifty & Seventy Cents (P 63,756.73) on
February 24, 2004;

That the said Manager’s Check was misplaced and cannot be located;

That we executing this affidavit in order to attest the truth of the foregoing facts and for
all legal intent it may serve.

IN WITNESS WHEREOF, we have hereunto set our hand on this 8th day of July 2005
at Quezon City, Philippines.

For: _________________________________

Consolidated Building Maintenance Inc.


Affiant
SUBSCRIBED AND SWORN to before me this 8th day of July 2005 at Quezon City,
Philippines, affiant exhibiting to me her/his CTC No. _____________________ issued at
_______________________ on __________________.

Doc. No.: _____________ NOTARY PUBLIC


Page No.: _____________
Book No.: _____________
Series of 2005

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