Republic of the Philippines)
Province of Masbate )
City of Masbate )
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AFFIDAVIT OF GUARDIANSHIP
I, AZUCENA G. OLIVA, 70 years old, Filipino, married and a resident of Brgy.
Pinamarbuhan, Mobo, Masbate, Philippines, after having been duly sworn to in
accordance with law, hereby depose and state:
1. That I am the grandmother and guardian of NOLI G. OLIVA, 24 years old,
born on November 4, 1995;
2. That the above-mentioned individual has been under my care and custody
since he was an infant;
3. That I am not an imbecile, insane, a vagrant or a vicious person or a habitual
drunkard or a habitual criminal, and have not abandoned, neglected or refused to
support said minor/s or caused him/them to commit offenses against the law.
4. That I am executing this affidavit to attest to the truth of all the foregoing
statements and for whatever legal purpose it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this 12th day of
September, 2019 at Masbate City, Masbate, Philippines.
AZUCENA G. OLIVA
Affiant
SUBSCRIBED AND SWORN TO before me this 12th day of September, 2019 at
Masbate City, Masbate, Philippines.
MA. THERESA A. LEGASPI- VALENCIA
Public Attorney II
Pursuant to R.A. 9406
Doc No. ____;
Page No. ____;
Book No. ____:
Series of 2019.