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Republic of the Philippines)

Province of Negros Oriental)s.s.


Municipality. of Sibulan….)

AFFIDAVIT OF GUARDIANSHIP

THAT I, CLEOFE SALIN SAYCON, of legal age, Filipino, widow, and a


resident of Enrique Villanueva, Sibulan, Negros Oriental, after having been duly sworn to
in accordance with law, do hereby depose and manifest:

That I am the mother of CLEABENECA SALIN SAYCON, 14 years old, and


LEAH BIANCA SALIN SAYCON, 10 years old, who are both minors;

That the father of CLEABENECA SALIN SAYCON and LEAH BIANCA


SALIN SAYCON died last December 21, 2018 at Bagtik, Enrique Villanueva;

That I stand as the sole guardian of CLEABENECA SALIN SAYCON and LEAH
BIANCA SALIN SAYCON since their father died and until the present, and I assumed
all the responsibilies of being their legal guardian and supported all their basic necessities
in life, since birth and until the present;

That this affidavit is executed freely and voluntarily and to attest the veracity and
truthfulness of the aforementioned statements herein.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


______________, at Sibulan, Negros Oriental.

CLEOFE SALIN SAYCON


(Affiant)

SUBSCRIBED AND SWORN to before me, a Notary Public, on this


______________, for the Municipality of Sibulan and the Province of Negros Oriental,
Philippines, the above-named affiant, exhibited her COMELEC ID with VIN: 4620-
0055A-D2477CSS200000, and WHO SIGNED IN MY PRESENCE the foregoing
document (Affidavit of Guardianship), and who avows under PENALTY OF LAW to the
whole truth of the contents of the same

Doc No. _________;


Page No. ________;
Book No. ________;
Series of 2019

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