Republic of the Philippines )
Province of Albay ) S.S.
Municipality of Camalig
AFFIDAVIT OF GUARDIANSHIP
I, ANA MASYADO MALDITA, of legal age, married, Filipino citizen, and presently
residing at Quezon City, after having been duly sworn to in accordance with law, do
hereby depose and say:
1. That I am the aunt and guardian of a minor who has an interest in Pru Life UK
cash assistance of his mother, VINA LEWALA MASYADO;
Full Name of Minor/s
VINCENT LEWALA MASYADO
Date of Birth
February 09, 2018
2. That the above-mentioned minor is under my care and custody;
3. That I am competent to receive in behalf of the said minor any amount due him;
4. 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 or caused him to commit offenses against the law;
5. 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 3rd day of February
2023 at Quezon City, Philippines.
ANA MASYADO MALDITA
Affiant
PhilHealth ID No. 10-05254159-9
SUBSCRIBED and SWORN to before me this 3rd day of February 2023 at
Quezon City, Philippines, affiant showing her government-issued ID above-written as
competent evidence of identity.
Doc. No. ____;
Page No. ____; Notary Public
Book No. ____;
Series of 2023