Anda di halaman 1dari 1

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF NUEVA VIZCAYA) S.S.


MUNICIPALITY OF BAYOMBONG)

AFFIDAVIT OF GUARDIANSHIP

I, ROWENA F. GATCHALIAN, of legal age, widow, Filipino citizen and


a resident of Osmena, Solano, Nueva Vizcaya, after having been duly sworn to in
accordance with law, hereby depose and state:

1. That I am the surviving spouse of the late PO1 Erwin A. Gatchalian of the
Talavera Police Station, Talavera, Nueva Ecija who died in a vehicular
accident last April 2, 2011 along the national highway in Carranglan,
Nueva Ecija;

2. That my late husband left with me the following minor children, namely:
Rowin John F. Gatchalian, and Kobe James F. Gatchalian, 9 and 2 years of
age, respectively;

3. That being their biological mother, the aforesaid minors are in my


custody as their guardian;

4. That I attest to the veracity of the foregoing statement.

]
IN WITNESS WHEREOF, I have hereto set my hand on this document
this 20thday of April 2011 at Talavera, Nueva Ecija.

ROWENA F. GATCHALIAN
Affiant

SUBSCRIBED AND SWORN TO before me this 20th day of April 2011 at


Bayombong, Nueva Vizcaya, affiant having exhibited to me her Postal
Identification Card No. 8353468, issued on July 29, 2010 at Solano, Nueva
Vizcaya.

Anda mungkin juga menyukai