1. Maria Dela Cruz files an affidavit to clarify the identity of her son Mario S. Dela Cruz, who was mistakenly baptized as Marlown S. Dela Cruz.
2. She attests that Mario S. Dela Cruz, who works as an overseas Filipino worker in Saudi Arabia along with his wife, is the same person as Marlown S. Dela Cruz.
3. The affidavit supports an application for PhilHealth insurance benefits for Mario's daughter Kaycee Anne Tica Dela Cruz, who is currently hospitalized and needs surgery.
1. Maria Dela Cruz files an affidavit to clarify the identity of her son Mario S. Dela Cruz, who was mistakenly baptized as Marlown S. Dela Cruz.
2. She attests that Mario S. Dela Cruz, who works as an overseas Filipino worker in Saudi Arabia along with his wife, is the same person as Marlown S. Dela Cruz.
3. The affidavit supports an application for PhilHealth insurance benefits for Mario's daughter Kaycee Anne Tica Dela Cruz, who is currently hospitalized and needs surgery.
1. Maria Dela Cruz files an affidavit to clarify the identity of her son Mario S. Dela Cruz, who was mistakenly baptized as Marlown S. Dela Cruz.
2. She attests that Mario S. Dela Cruz, who works as an overseas Filipino worker in Saudi Arabia along with his wife, is the same person as Marlown S. Dela Cruz.
3. The affidavit supports an application for PhilHealth insurance benefits for Mario's daughter Kaycee Anne Tica Dela Cruz, who is currently hospitalized and needs surgery.
AFFIDAVIT OF IDENTITY I, MARIA DELA CRUZ, of legal age, married, Filipino and a resident of Wonderland Subdivision, Sta. Teresa, Iguig, Cagayan, states that: 1. I am the mother of Mario S. Dela Cruz. 2. My son, however, was baptized as Marlown S. Dela Cruz on the mistaken belief that he was registered as Marlown S. Dela Cruz in his Certificate of Live Birth. 3. It was only after the marriage and birth of my sons daughter, Kaycee Anne Tica Dela Cruz, that we learned after securing a copy of my sons birth certificate that his registered name is actually Mario and not Marlown as he has been using. 4. After discovering that my sons registered name is Mario instead of Marlown, my son opted to use his registered name. 5. Unfortunately, during the birth of Kaycee Anne Tica Oliga and his declaration as a dependent on my sons PhilHealth application, he has not yet discovered his registered name and hence indicated his name in his application form as Marlown instead of his registered name as Mario. 6. I hereby attest that Mario S. Dela Cruz is one and the same person as Marlown S. Dela Cruz. 7. My son, Mario S. Dela Cruz, as well as his wife, Maricel Dela Cruz, are all working as overseas Filipino workers in Saudi Arabia. 8. I have been charged as the guardian of the children of Mario and Maricel Dela Cruz. 9. Presently, Kaycee Anne Tica Dela Cruz is confined at St. Paul Hospital and is due for surgery. 10. I execute the foregoing Affidavit to support the application for health insurance benefits of Kaycee Anne Dela Cruz as a dependent of Mario S. Dela Cruz with the PhilHealth in connection with her medical confinement. 11. I attest to the truth of the foregoing. IN WITNESS WHEREOF, I affix my signature this ___ day of March 2014 at Tuguegarao City, Cagayan.
EUFEMIA S. DELA CRUZ Affiant
JURAT
SUBSCRIBED AND SWORN to before me this ___ day of March, 2014 at Tuguegarao City, Cagayan.