joint affidavit of witnesses(draft)

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7/25/2019 Joint Affidavit of Witnesses(Draft)

http://slidepdf.com/reader/full/joint-affidavit-of-witnessesdraft 1/2

REPUBLIC OF THE PHILIPPINES )QUEZON CITY ) S.S.

JOINT AFFIDAVIT OF WITNESSES

We, Leah Y. Joya, Froilan Bagsic and Jan Lu!ig "e#ner O. $o, all of legal age, Filiino!, !ingle and "i#$ offi%e add&e!! a# 'FP(B'I Bldg., Col. BonnSe&&ano Road %o&ne& E*S', Q+eon Ci#, af#e& $a-ing een d+l !"o&n #o,$e&e deo!e! and !#a#e!, #$a#/

0. We a&e a &eg+la& e1loee! of #$e '&1ed Fo&%e! and Poli%e (+#+alBenefi# '!!o%ia#ion In%., 2'FP(B'I) a!!igned a! %anager , 33333333333,&rocessor II &e!e%#i-el4

5. (&! Loli'a O. (arinugan, an In!+&an%e Re&e!en#a#i-e of 'FP(B'I, $a-ea-ailed #"o 25) oli%ie! fo& ed+%a#ional lan "o&#$ One H+nd&ed T$o+!andPe!o! 2P066,666.66) ea%$ a!!igned fo& $e& da+g$#e&,

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7. T$e o&iginal and !ole enefi%ia& of #$e !aid oli%ie! "a! $e& $+!and, (& Junar (arinugan4

8. On 08 *e%e1e& 5609, (&! Loli'a O. (arinugan  "a! %onfined #o Dr.Jose N. )ori*ue+ "osi'al  d+e #o Dia-e'esBreas' (ancer   and

allegedl 1ade an a1end1en# oli% fo&1! %$anging #$e enefi%ia&ie!f&o1 333333333333 #o 33333333333, 33333333333 and 33333333333 2'nne: ')4

9. On 33333335609, 33333333333 &e%ei-ed #$e afo&e1en#ioned a1end1en#oli% fo&1! of (&! 333333333333 deli-e&ed e&!onall

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;. On 57 *e%e1e& 5609, "e "en# #o e&!onall in#e&-ie" (&! Loli'a O.(arinugan, a# Dr. Jose N. )origue+ "osi'al #o -e&if #$e a+#$en#i%i#of #$e de#ail! &e #$e a1end1en# oli% fo&1! !igned +!ing $e& #$+11a&<and #o %onfi&1 if !$e=! !#ill in good 1en#al $eal#$ and %aale #o do #$e!aid a1end1en#!4

>. Uon in#e&-ie", (&! Loli'a O. (arinugan  denied !o1e de#ail!in%o&o&a#ed on #$e a1end1en#!. S$e %la&ified #$a# #$e onl ad?+!#1en#!$e allo"! i! #o in%l+de $e& olde& !i!#e&, (&! Aia O. Bercasio  a!addi#ional enefi%ia& along!ide "i#$ $e& $+!and, (& Junar (arinugan4

@. On #$e %on#&a&, $e& #"o o+nge& &o#$e&!, (& )eynalo ). Ol/ogue+and (& )ogelio ), Ol/ogue+ "e&e &e1o-ed on #$e +da#ed a1end1en#oli% fo&1! 2'nne: B) a! !$e in!#&+%#ed and !igned +!ing $e& lef# and&ig$# #$+11a&< in f&on# of #$e affian#! elo"4

A. We a&e e:e%+#ing #$i! affida-i# #o a##e!# #o #$e #&+#$ of #$e fo&egoing andfo& "$a#e-e& legal +&o!e! #$i! 1a !e&-e.

 Q+eon Ci#, 3333333333.

7/25/2019 Joint Affidavit of Witnesses(Draft)

http://slidepdf.com/reader/full/joint-affidavit-of-witnessesdraft 2/2

 00000000000000 0000000000000000 00000000000000   'ffian# 'ffian# 'ffian#

SUBSCRIBE* 'N* SWORN TO BEFORE (E, a No#a& P+li% fo& and in 3333333333, P$iliine!, #$i! 3333333 #$e affian# "$o i! e&!onall <no"n #o1e and "$o!e iden#i# I $a-e %onfi&1ed #$&o+g$ $i! P$il *&i-e&=! Li%en%e No.N600860>5AA i!!+ed a# Q+eon Ci# ea&ing #$e affian#=! $o#og&a$ and!igna#+&e, and "$o !$o"ed #o 1e $i! Unified (+l#iP+&o!e I* No. CRN60000>077;;9.

*o%. No.Page No.Boo< No.Se&ie! of 5609.

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