REPUBLIC OF THE PHILIPPINES}

DONE: IN THE CITY OF BAGUIO } S.S.

x ------------------------------------------- x
AFFIDAVIT OF GUARDIANSHIP
I, LEONARDITA A. FERONEL, of legal age, Filipino citizen,
widow and presently residing at #100-B City Camp Alley Extension,
Baguio City, Philippines, on oath, states:
1. I am the mother of the minor named below who have an
interest in the PAG-IBIG provident benefits of my late husband
SHERWIN A. FERONEL payable by the PAG-IBIG Fund.
NAME OF MINOR

DATE OF BIRTH

KIMBERLY FERONEL

September 23, 2010

AGE
2

2. I am the guardian of the above-named minor.

3. The minor is under my sole care and custody.
4. I am competent to receive in behalf of the said minor any
amounts due her; and
5. 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 her to commit offenses against the law.
IN WITNESS, I have hereunto set my hand this 15TH day of March
2016, at Baguio City, Philippines.
_______________________
LEONARDITA A. FERONEL
Affiant
SUBSCRIBED AND SWORN to before me, in the City of
Baguio, Philippines, this 15TH day of March 2016, by LEONARDITA A.
FERONEL, who has satisfactorily proven her identity to me through
her Tax Identification Number (TIN) 112-333-478 that she is the same
person who personally signed the foregoing affidavit before me and
acknowledged that she executed the same.

Page 1 of 1