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HQP-PFF-032

WAIVER OF RIGHTS

I, MARIAM USMAN MACAPATO, of legal age, Filipino, widow and with


residence address at Ampao, Bacolod Grande, Lanao del Sur, after having been duly
sworn to in accordance with the law, do hereby depose and state, THAT:

1. On November 18, 2017, Mr. ABUSAMAD BATARA USMAN passed away;

2. The deceased was a member of the HOME DEVELOPMENT MUTUAL


FUND (HDMF);

3. I am an heir of the deceased being his sister;

4. I hereby waive in favor of NORHAYA RAUF USMAN all rights and interest
I may have over the provident benefits due the deceased from the HDMF;

5. I hereby release and discharge the HDMF from any and all liability in
connection with the aforementioned waiver and release of the provident benefits in favor
of the above named person;

6. I am executing this affidavit to attest to the truth of the foregoing facts and
statements.

I further sayeth not.

MARIAM USMAN MACAPATO


Affiant

Witnesses:

Printed Name/Signature Printed Name/Signature

SUBSCRIBED AND SWORN to before me this ___th day of


_______________, 2019 at __________________, Philippines. Affiant has satisfactorily
proven to me his/her identity through his/her
____________________________________ valid until ____________________, that
he/she is the same person who personally signed before me the foregoing Waiver of
Rights and acknowledged that he/she executed the same.

NOTARY PUBLIC

Doc. No. ____________;


Page No. ____________;
Book No. ____________;
Series of ____________.
HQP-PFF-032

WAIVER OF RIGHTS

I, COBRA USMAN HADJINOR, of legal age, Filipino, widow and with residence
address at Ampao, Bacolod Grande, Lanao del Sur, after having been duly sworn to in
accordance with the law, do hereby depose and state, THAT:

1. On November 18, 2017, Mr. ABUSAMAD BATARA USMAN passed away;

2. The deceased was a member of the HOME DEVELOPMENT MUTUAL


FUND (HDMF);

3. I am an heir of the deceased being his sister;

4. I hereby waive in favor of NORHAYA RAUF USMAN all rights and interest
I may have over the provident benefits due the deceased from the HDMF;

5. I hereby release and discharge the HDMF from any and all liability in
connection with the aforementioned waiver and release of the provident benefits in favor
of the above named person;

6. I am executing this affidavit to attest to the truth of the foregoing facts and
statements.

I further sayeth not.

COBRA USMAN HADJINOR


Affiant

Witnesses:

Printed Name/Signature Printed Name/Signature

SUBSCRIBED AND SWORN to before me this ___th day of


_______________, 2019 at __________________, Philippines. Affiant has satisfactorily
proven to me his/her identity through his/her
____________________________________ valid until ____________________, that
he/she is the same person who personally signed before me the foregoing Waiver of
Rights and acknowledged that he/she executed the same.

NOTARY PUBLIC

Doc. No. ____________;


Page No. ____________;
Book No. ____________;
Series of ____________.
HQP-PFF-032

WAIVER OF RIGHTS

I, SAIDA USMAN ROMEREZ, of legal age, Filipino, married and with residence
address at Ampao, Bacolod Grande, Lanao del Sur, after having been duly sworn to in
accordance with the law, do hereby depose and state, THAT:

1. On November 18, 2017, Mr. ABUSAMAD BATARA USMAN passed away;

2. The deceased was a member of the HOME DEVELOPMENT MUTUAL


FUND (HDMF);

3. I am an heir of the deceased being his sister;

4. I hereby waive in favor of NORHAYA RAUF USMAN all rights and interest
I may have over the provident benefits due the deceased from the HDMF;

5. I hereby release and discharge the HDMF from any and all liability in
connection with the aforementioned waiver and release of the provident benefits in favor
of the above named person;

6. I am executing this affidavit to attest to the truth of the foregoing facts and
statements.

I further sayeth not.

SAIDA USMAN ROMEREZ


Affiant

Witnesses:

Printed Name/Signature Printed Name/Signature

SUBSCRIBED AND SWORN to before me this ___th day of


_______________, 2019 at __________________, Philippines. Affiant has satisfactorily
proven to me his/her identity through his/her
____________________________________ valid until ____________________, that
he/she is the same person who personally signed before me the foregoing Waiver of
Rights and acknowledged that he/she executed the same.

NOTARY PUBLIC

Doc. No. ____________;


Page No. ____________;
Book No. ____________;
Series of ____________.
HQP-PFF-032

WAIVER OF RIGHTS

I, HADJI ZUHAYER BATARA USMAN, of legal age, Filipino, married and with
residence address at Ampao, Bacolod Grande, Lanao del Sur, after having been duly
sworn to in accordance with the law, do hereby depose and state, THAT:

1. On November 18, 2017, Mr. ABUSAMAD BATARA USMAN passed away;

2. The deceased was a member of the HOME DEVELOPMENT MUTUAL


FUND (HDMF);

3. I am an heir of the deceased being his brother;

4. I hereby waive in favor of NORHAYA RAUF USMAN all rights and interest
I may have over the provident benefits due the deceased from the HDMF;

5. I hereby release and discharge the HDMF from any and all liability in
connection with the aforementioned waiver and release of the provident benefits in favor
of the above named person;

6. I am executing this affidavit to attest to the truth of the foregoing facts and
statements.

I further sayeth not.

HADJI ZUHAYER BATARA USMAN


Affiant

Witnesses:

Printed Name/Signature Printed Name/Signature

SUBSCRIBED AND SWORN to before me this ___th day of


_______________, 2019 at __________________, Philippines. Affiant has satisfactorily
proven to me his/her identity through his/her
____________________________________ valid until ____________________, that
he/she is the same person who personally signed before me the foregoing Waiver of
Rights and acknowledged that he/she executed the same.

NOTARY PUBLIC

Doc. No. ____________;


Page No. ____________;
Book No. ____________;
Series of ____________.
HQP-PFF-032

WAIVER OF RIGHTS

I, ABDULHALIM BATARA USMAN, of legal age, Filipino, married and with


residence address at Ampao, Bacolod Grande, Lanao del Sur, after having been duly
sworn to in accordance with the law, do hereby depose and state, THAT:

1. On November 18, 2017, Mr. ABUSAMAD BATARA USMAN passed away;

2. The deceased was a member of the HOME DEVELOPMENT MUTUAL


FUND (HDMF);

3. I am an heir of the deceased being his brother;

4. I hereby waive in favor of NORHAYA RAUF USMAN all rights and interest
I may have over the provident benefits due the deceased from the HDMF;

5. I hereby release and discharge the HDMF from any and all liability in
connection with the aforementioned waiver and release of the provident benefits in favor
of the above named person;

6. I am executing this affidavit to attest to the truth of the foregoing facts and
statements.

I further sayeth not.

ABDULHALIM BATARA USMAN


Affiant

Witnesses:

Printed Name/Signature Printed Name/Signature

SUBSCRIBED AND SWORN to before me this ___th day of


_______________, 2019 at __________________, Philippines. Affiant has satisfactorily
proven to me his/her identity through his/her
____________________________________ valid until ____________________, that
he/she is the same person who personally signed before me the foregoing Waiver of
Rights and acknowledged that he/she executed the same.

NOTARY PUBLIC

Doc. No. ____________;


Page No. ____________;
Book No. ____________;
Series of ____________.
HQP-PFF-032

WAIVER OF RIGHTS

I, RAHIMA USMAN AMANODIN, of legal age, Filipino, married and with


residence address at Ampao, Bacolod Grande, Lanao del Sur, after having been duly
sworn to in accordance with the law, do hereby depose and state, THAT:

1. On November 18, 2017, Mr. ABUSAMAD BATARA USMAN passed away;

2. The deceased was a member of the HOME DEVELOPMENT MUTUAL


FUND (HDMF);

3. I am an heir of the deceased being his sister;

4. I hereby waive in favor of NORHAYA RAUF USMAN all rights and interest
I may have over the provident benefits due the deceased from the HDMF;

5. I hereby release and discharge the HDMF from any and all liability in
connection with the aforementioned waiver and release of the provident benefits in favor
of the above named person;

6. I am executing this affidavit to attest to the truth of the foregoing facts and
statements.

I further sayeth not.

RAHIMA USMAN AMANODIN


Affiant

Witnesses:

Printed Name/Signature Printed Name/Signature

SUBSCRIBED AND SWORN to before me this ___th day of


_______________, 2019 at __________________, Philippines. Affiant has satisfactorily
proven to me his/her identity through his/her
____________________________________ valid until ____________________, that
he/she is the same person who personally signed before me the foregoing Waiver of
Rights and acknowledged that he/she executed the same.

NOTARY PUBLIC

Doc. No. ____________;


Page No. ____________;
Book No. ____________;
Series of ____________.
HQP-PFF-032

WAIVER OF RIGHTS

I, BAICONA USMAN ALAWI, of legal age, Filipino, married and with residence
address at Ampao, Bacolod Grande, Lanao del Sur, after having been duly sworn to in
accordance with the law, do hereby depose and state, THAT:

1. On November 18, 2017, Mr. ABUSAMAD BATARA USMAN passed away;

2. The deceased was a member of the HOME DEVELOPMENT MUTUAL


FUND (HDMF);

3. I am an heir of the deceased being his sister;

4. I hereby waive in favor of NORHAYA RAUF USMAN all rights and interest
I may have over the provident benefits due the deceased from the HDMF;

5. I hereby release and discharge the HDMF from any and all liability in
connection with the aforementioned waiver and release of the provident benefits in favor
of the above named person;

6. I am executing this affidavit to attest to the truth of the foregoing facts and
statements.

I further sayeth not.

BAICONA USMAN ALAWI


Affiant

Witnesses:

Printed Name/Signature Printed Name/Signature

SUBSCRIBED AND SWORN to before me this ___th day of


_______________, 2019 at __________________, Philippines. Affiant has satisfactorily
proven to me his/her identity through his/her
____________________________________ valid until ____________________, that
he/she is the same person who personally signed before me the foregoing Waiver of
Rights and acknowledged that he/she executed the same.

NOTARY PUBLIC

Doc. No. ____________;


Page No. ____________;
Book No. ____________;
Series of ____________.

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