REPUBLIC OF THE PHILIPPINES) ) S.S.

AFFIDAVIT OF GUARDIANSHIP AND SUPPORT

That I, _______________________ , of legal age, widow, Filipino Citizen, and a resident of _________________________, after having been duly sworn to in accordance with law hereby depose and say:

1. That I am the eldest son of the Spouses _____________ and ________________;

2. That I have one (1) brother in the name of _______________________ born on ________________ at ___________________;

3. That during his years in college, I stand as his guardian and supplies all his daily needs;

4. That I am executing this affidavit to attest to the veracity of the foregoing statements and for whatever legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this _______________________in ______________________.

__________________ Affiant

ID No. _____________

SUBSCRIBED AND SWORN to before me this ___________________ at _______________. Affiant exhibited to me his valid Identification No. found below his name.