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WAIVER OF RIGHTS

KNOW ALL MEN BY THESE PRESENTS:


We, CHERRY SOBREDILLA-CAMAGO, ROAMIL SOBREDILLA, CLAIRE
SOBREDILLA-JUAREZ, all of legal age, married, Filipino and residents of Sta. Barbara,
Iloilo, Philippines, and MELENIV SOBREDILLA, of legal age, single, Filipino and residents
of Sta. Barbara, Iloilo, Philippines, after having been sworn to in accordance with law, hereby
declare that:
1. We are the surviving children and heirs of JUAN PENUELA SOBREDILLA, who died
on October 23, 2002, in Sta. Barbara, Iloilo.

2. The said Juan Penuela Sobredilla was insured at AFP PJMC, Fort Andres Bonifacio,
Metro Manila;

3. We do hereby WAIVE, TRANSFER, and CONVEY all the rights, interests and
obligations over his differential benefits at AFP PGMC in favor of our mother,
CAROLINA OLITRES SOBREDILLA, legal age, widow, Filipino and a resident of
Sta. Barbara, Iloilo, Philippines. Who is able and willing to assume all the rights,
interests, and obligations thereto.

IN WITNESS WHEREOF, I have hereunto set my hand this __________ in Sta. Barbara,
Iloilo, Philippines.

CHERRY SOBREDILLA – CAMAGO ROAMIL SOBREDILLA


TIN 482-727-183 TIN 915-834-388

CLAIRE SOBREDILLA-JUAREZ MELENIV SOBREDILLA


TIN 930-483-595 TIN 483-658-026

SIGNED IN THE PRESENCE OF:


___________________________ & ________________________________
REPUBLIC OF THE PHILIPPINES)
STA. BARBARA, ILOILO …….)S.S.
X- - - - - - - - - - - - - - - - - - - - - X

Personally appeared before me this __________________ in Sta. Barbara, Iloilo,


Philippines, the abovementioned principals with their identification cards indicated under their
names and signatures above, personally known to me to be the same persons who executed the
foregoing instrument, and that they acknowledged to me that the same is their free and voluntary
act and deed.

WITNESS MY HAND AND SEAL.

Doc. No. ;
Page No. ;
Book No. ;
Series of 2017 ;

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