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Republic of the Philippines )

Province of Cavite ) S.S.

City of Trece Martires )

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSON

We, YANIELYN ORATA DOMINGO, of legal age, Filipino citizen, withresidence at Blk. 15, Lot. 51, Brazil St. Country Meadow, San. Francisco, Gen. TriasCavite and TITA BAUTISTA,of legal age, Filipino citizen, with residence Blk. 15 A,Lot. 37, Brazil St. Country Meadow, San. Francisco, Gen. Trias Cavite, under oathstates that:

1. That we personally know the late DOMINIC CEZAR PARCON, son of the

spouses Ramon Parcon and Nomina Cezar;

2. That Dominic Cezar Parcon, is a member of the Social Security System and

the Home Development Mutual (PAG-IBIG ) Fund ;

3.

That we know for a fact that a discrepancy is attendant as to the actual middle

name of Dominic. In his Certificate of Live Birth, the middle name inscribed,

although blurry can be visibly read as Cezar and the same has beenhabitually and continuously used by Dominic in all of his personal and

legal records However , upon verification ( Web Inquiry System ) on his

SSS records the middle name CESAR ( third letter spelled with a S)appeared in contrast to what had been inscribed on his E-4 Form; wherein

CEZAR ( third letter spelled with a Z);

4. Similarly, the middle name of Dominic was wrongfully spelled on thefollowing documents, (1) Brgy. Certification for SSS Claim (2)Certificate of

live birth of Jacob A. Parcon (3)Certificate of live birth of John Leo Mark

A. Parcon, (4) Certificate of Death of Dominic Cezar Parcon;

5. We hereby attest that the true and correct middle name of Dominic should

be recorded as CEZAR, proven by his certificate of live birth and other

existing identifications ( i.e certificate of marriage, Pag-Ibig I.d ,etc.), whichare reproduced and attached hereto;

6. That names DOMINIC CEZAR PARCON and DOMINIC CESAR PARCON,particularly and significantly refers to one and the same person;

7.

Likewise, the name of Dominics mother was erroneously inscribed on his

Certificate of Death wherein NONIMA CEAZAR (with an A) wasinscribed as opposed to NOMINA CEZAR appearing on Dominics

certificate of birth. We can also confirm from our own personal knowledge

that full name is to be correctively recorded as NOMINA CEZAR

8. That we are not related to Dominic Cezar Parcon, either by affinity or by

consanguinity nor have any direct interest to the outcome of this affidavit;

9. We are executing this affidavit to attest the truthfulness of the foregoing

declarations under penalties of perjury to correct the discrepancy herein

specified in support of any and all claims due and favorable to the lateDominic Cezar Parcon at the S.S.S and Home Development Mutual (PAG-IBIG ) Fund moreover to serve all other legal intents and transactions.

IN WITNESS WHEREOF, we have hereunto set our hand on this 26th

day of June2013 at Trece Martires City, Cavite.

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YANIELYN ORATA DOMINGO TITA BAUTISTA

Affiant AffiantPhilhealth I.d 08-050598348-7 SSS Membership I.d

SUBSCRIBED AND SWORN to before me on this 26th

day of June 2013 at

Trece Martires City, Cavite. Affiant exhibited to me their competent proof of their

identity above specified.

Doc. No. : 361

Page No. : 71

Book No. : 61

Series of : 2013

ATTY. FE B. AONUEVONOTARY PUBLIC Until 31 December 2014

ROLL OF ATTORNEY No. 35746

IBP No. 902501 - 08-15-12 Imus Cavite/ PTR No. 3179872 -01-07-13 TMC Cavite

4TH MCLE Exemption No. 000189

Unit 3 Provincial Capitol Compound Trece Martires City, Cavite