1. Irish V. De Rama executed an affidavit of loss to declare that her driver's license was lost and to support her application for a new license.
2. Irish Alexander Berja Cande executed an affidavit of paternity to acknowledge Miaka ABC De Rama as his biological child and to allow Miaka to use his surname.
3. Iriesh dela Fuego de Rama and Allan Berja de Rama executed a joint affidavit to attest that the only surviving heirs of the late Belinda are her surviving spouse Allan and children Julius and Allan.
1. Irish V. De Rama executed an affidavit of loss to declare that her driver's license was lost and to support her application for a new license.
2. Irish Alexander Berja Cande executed an affidavit of paternity to acknowledge Miaka ABC De Rama as his biological child and to allow Miaka to use his surname.
3. Iriesh dela Fuego de Rama and Allan Berja de Rama executed a joint affidavit to attest that the only surviving heirs of the late Belinda are her surviving spouse Allan and children Julius and Allan.
1. Irish V. De Rama executed an affidavit of loss to declare that her driver's license was lost and to support her application for a new license.
2. Irish Alexander Berja Cande executed an affidavit of paternity to acknowledge Miaka ABC De Rama as his biological child and to allow Miaka to use his surname.
3. Iriesh dela Fuego de Rama and Allan Berja de Rama executed a joint affidavit to attest that the only surviving heirs of the late Belinda are her surviving spouse Allan and children Julius and Allan.
1. Irish V. De Rama executed an affidavit of loss to declare that her driver's license was lost and to support her application for a new license.
2. Irish Alexander Berja Cande executed an affidavit of paternity to acknowledge Miaka ABC De Rama as his biological child and to allow Miaka to use his surname.
3. Iriesh dela Fuego de Rama and Allan Berja de Rama executed a joint affidavit to attest that the only surviving heirs of the late Belinda are her surviving spouse Allan and children Julius and Allan.
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Republic of the Philippines)
City of San Pablo, City ) S.S.
x-----------------------x
Affidavit of Loss
I, IRISH V. DE RAMA, Filipino, of legal age, single, and with
residence at 6933 Washington St. Pio Del Pilar, Makati City Philippines, after being duly sworn to in accordance with law, hereby depose and state:
1. That I am a duly-licensed professional driver in accordance
with pertinent LAND TRANSPORTATION LAWS, RULES AND REGULATIONS, and was issued a corresponding Driver's License with number 12345678 which is valid until JUNE 23, 2020;
2. That three(3) days ago, said Driver's License was misplaced
and got lost;
3. That despite diligent search and efforts to locate my Driver's
License, I could not find the same such that I now have reasons to believe that it is now lost and can’t be recover;
4. That said Driver's License has not been confiscated by the
LTO, Police or other Traffic Enforcers for any traffic violation;
5. As such, I am executing this Affidavit of Loss to attest to the
truth of the foregoing and to support my application for the issuance of a new Driver's License, in lieu of the one that was lost.
IN WITNESS WHEREOF, I have hereunto set my hand this 14th day
of February at SanPablo, Philippines.
___________IRISH V. DE RAMA___________ AFFIANT
SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and for
_________San Pablo, City__________ this 14th day of February 2020 Affiant personally came and appeared with _____________Prc # 12345___ issued by the _________PRC_LUCENA_____ on ___11-07-06_ at ________Lucena, City________, bearing his photograph and signature, known to me as the same person who personally signed the foregoing instrument before me and avowed under penalty of law to the whole truth of the contents of said instrument. Atty Mikaela CZY Dela Puerto de Amore Notary Public Doc. No. 01 Commission Serial No. __________________ Page No. 02_ Notary Public for __________ Book No. 1 Until December 31, 2020 Series of 2020 Office: Forbiddy Street, San Pablo , Laguna Roll No. __________ IBP Lifetime Roll No. ________; __/__/__ ; (Laguna) PTR No. _________ ; __/__/__ ; _(Laguna)_ MCLE Compliance Cert. No. __________; __/__/__ [ AFFIDAVIT OF PATERNITY AND USE OF FATHER’S SURNAME I, Irish Alexander Berja Cande of legal age, Filipino citizen, and presently residing at 9002 Linga Rockingham, Laguna after having been duly sworn to in accordance with law, do hereby depose and say: 1. That I am the biological father of Miaka ABC De Rama ; 2. That my child Miaka was born on December 18, 2018 at Los Banos Laguna; 3. That the facts of birth of my child were duly registered at the Municipal of Los Banos; 4. That being the father of Miaka ABC de Rama, I hereby acknowledge and recognize Miaka as my child and legal heir; 5. That I am allowing my child Miaka ABC de Rama to use my surname to be his/her surname in his Certificate of Live Birth; and 6. That I execute this affidavit to attest to the truth of the above facts in compliance with the provisions of Republic Act No. 9255.
IN WITNESS WHEREOF, I have hereunto set my hand this 13 th day of
February 2020 at Pila, Laguna.
IRISH ALEXANDER BERJA CANDE
Affiant (Signature Over Printed Name)
SUBSCRIBED AND SWORN to before me this 13TH day of FEBRUARY in the
year 2020 , affiant exhibiting to me his competent evidence of identity by way of PRC ID 12345 issued at LUCENA CITY on NOVEMER 7, 2005
Doc No. : 01 Page No.: 01 Book No.:01 Series of 2020 Notary Public AFFIDAVIT OF TWO DISINTERESTED PERSONS We, Iriesh dela Fuego de Rama and Allan Berja de Rama, both of legal ages, Filipinos, and residents of Rockingham , Western, Laguna, and Wanbro, Pila, Laguna after having been duly sworn to in accordance with law, hereby depose and state:
1. That we have been residents of Pila, Laguna for more than 25 years, and during this period of time, we have personally know spouses Belinda Fernandez and Allan Fernandez, being our neighbours and close acquaintance;
2. That during the same period of time we personally know (name of children) as the children still living and (those who passed away, if applicable) are the children of spouses Julius and Allain;
3. That during the lifetime of the said family in the neighbourhood until the death of Belinda, we have continuously observed and known that spouses allan had no other children, legitimate or otherwise, deceased or surviving, living with them or in some place other than the family home or abode, or any knowledge of any other child born outside wedlock or had been claiming or establishing filiation to deceased _____________________________ by adoption or other legitimate process of establishing filiation; and
4. That we are executing this joint affidavit to attest to the truth and veracity of the foregoing set of facts without any promise or reward or any other monetary consideration but solely for the purpose of declaring that the only surviving compulsory heirs of the late Belinda are his/her surviving spouse Allan and child/children Julius and allain and for each other legal intents.
FURTHER AFFIANTS SAYETH NONE.
IN WITNESS WHEREOF, we have hereunto affixed our respective signatures this
13th day of February 2020 at Pila, laguna.
Iriesh dela Fuego de Rama Allan Berja de Rama
Affiant Affiant
Government issued ID No. 12345 Government issued ID No.67890
Issued on Feb 14,2005 Issued on February 25, 2006
Issued at PRC LUCENA Issued at PRC LUCENA
SUBSCRIBED AND SWORN to before me this 13th day of February, 2020 at the City of Pila, Philippines, the affiants exhibiting to me their Government issued IDs written below their respective names.
Doc. No. 001
Page No. 001 Book No. 001 Series of 2020 NOTARY PUBLIC
