EMBASSY OF THE REPUBLIC OF THE PHILIPPINES)

RIYADH, SAUDI ARABIA ) S.S.

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AFFIDAVIT OF SINGLE STATUS

I, MARIA C. DELA CRUZ, of legal age, Filipino, with Philippine address

at 123 Mangga Street, General Santos City, after having been duly sworn to
in accordance with law, do hereby depose and say:

1. THAT I have never contracted any marriage in the Philippines or elsewhere

and I remain SINGLE to this very day and hour;

2. THAT there is no legal impediment for me to contract marriage under the

Philippine Laws;

3. THAT I am executing this Affidavit for the purpose of complying with

the requirementsrelating to my forthcoming marriage to PEDRO B. RUIZ in
Riyadh;

4. THAT I declare that the statements made in this affidavit are true and correct
and I am willing to bear all the legal responsibilities arising therefrom.

IN WITNESS WHEREOF, I have hereunto set my hand this 1st day of

August 2013 at the Philippine Embassy, Riyadh, Saudi Arabia.

MARIA C. DELA CRUZ

Affiant

SUBCRIBED AND SWORN TO before me this 1st day of August 2013

at the Philippine Embassy, Riyadh, Saudi Arabia, affiant exhibiting her
Philippine Passport No. 123456789 issued on June 7, 2010 in Manila,
Philippines.

Doc. No. _____

Service No. _____
Series of: ______
Fee Paid: ______
O.R. No.: ______