Scribd
Upload
739 views2 pages

Affidavit of Consent

1) Shecel Joyce Tagud provides written consent for the cremation of her father Celso Tagud's remains in the Philippines before being returned to the family. 2) She consents to the designated staff of the crematorium establishing sharing her father's personal information with government agencies to facilitate cremation, remains transfer, and determining potential death benefit eligibility. 3) Shecel Tagud understands and voluntarily signs the affidavit.

Uploaded by

Lucille Teves
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
739 views2 pages

Affidavit of Consent

1) Shecel Joyce Tagud provides written consent for the cremation of her father Celso Tagud's remains in the Philippines before being returned to the family. 2) She consents to the designated staff of the crematorium establishing sharing her father's personal information with government agencies to facilitate cremation, remains transfer, and determining potential death benefit eligibility. 3) Shecel Tagud understands and voluntarily signs the affidavit.

Uploaded by

Lucille Teves
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 2

Republic of the Philippines)

Province of Leyte )
Baybay City, Leyte ) S.S.

AFFIDAVIT OF CONSENT

I, SHECEL JOYCE TAGUD , Filipino, single , of legal age, and presently


residing at Tinago , Inopacan , Leyte respectively, having been duly sworn in
accordance with law, hereby depose and state that:

1. I am the daughter of Celso Tagud of Inopacan , Leyte who died on

May 29,2020 at Dammam , Saudi Arabia ;

2. Pursuant to existing laws, policies, rules and regulations, including


DOH DM 2020-0067 dated February 3, 2020, DILG MC 2020-063 dated March 27,
2020, DOH DILG JMC No. 1 Series of 2020 dated April 16, 2020, DOH-BOQ MC No.
2020- 023 dated July 1, 2020, and to ensure infection prevention and control, and
uphold public health and safety, I hereby signify my written consent, freely,
willingly and voluntarily to have the remains of Mr. Celso Tagud be cremated in the
designated crematorium establishment/s of ___________________________ before
they turn-over to us the remains of our cadaver;

3. Further, we are freely giving our full consent to


_________________________ who is the designated staff of
__________________________________ to disclose the appropriate personal
information of the deceased and its preferred and legitimate claimants to the
appropriate government agencies in facilitating: a) the cremation and transport of
the remains of our cadaver; b) turn-over of the remains to the claimants; c) identify
the potential beneficiaries who can avail of the death compensation benefits offered
by various government agencies; and d) such other matters;

4. I fully understand the contents of this Affidavit of Consent and I have


full knowledge of its consequences. Also, the content and meaning of this document
has been fully explained to me in a dialect and/or language known to me; and

5. I am executing this affidavit to attest to the truth of all the foregoing


statements and for whatever legal purposes it may serve.

IN WITNESS WHEREOF, I have hereunto set my hands this


_________________________ at ____________________________.

____________________________
Affiant

SUBSCRIBED AND SWORN to before me this _____________________ at


______________________. Affiants exhibiting to me their ID__________________:

Name ID Expiration
_______________ ________________
________________

NOTARY PUBLIC

Doc No. ____;


Page No. ___;
Book No. ___;
Series of 2020.

You might also like