Scribd
Upload
188 views1 page

Affidavit of Guardianship

The document is an affidavit of guardianship for an 8-month old child. The affiant states that they are the cousin and legal guardian of the child, whose mother is working away from home. As the legal guardian, the affiant is responsible for the child's well-being, safety, medical needs, and will represent the child in applying for PhilHealth membership. The affiant signed the affidavit to attest to the facts and for any legal purposes.

Uploaded by

cleytonmarques1991
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
188 views1 page

Affidavit of Guardianship

The document is an affidavit of guardianship for an 8-month old child. The affiant states that they are the cousin and legal guardian of the child, whose mother is working away from home. As the legal guardian, the affiant is responsible for the child's well-being, safety, medical needs, and will represent the child in applying for PhilHealth membership. The affiant signed the affidavit to attest to the facts and for any legal purposes.

Uploaded by

cleytonmarques1991
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 1

REPUBLIC OF THE PHILIPPINES )

Tagum City, Davao del Norte ) S.S.


x----------------------------------x

AFFIDAVIT OF GUARDIANSHIP
I, ________________, of legal age, Filipino, single, and a resident of
Tagum City, after having been duly sworn to in accordance with law, do hereby
depose and say:

1. That I am the same and identical person who cause the execution of
this affidavit;

2. I am the cousin of _______________, eight months old who was


born on ______________;

3. He is the illegitimate child of my aunt, __________________;

4. Presently, ________________ is under my care and custody


considering that his mother is presently working in the distant place,
thus, I am the one providing for his well-being, safety and medical
needs;

5. Thus, in the absence of his parent, I further extend my standing as


the legal guardian and representative of ________________ with
regard to his application for membership with PhilHealth and all the
matters needed for said application of membership;

6. That I am executing this affidavit in my capacity as his guardian, to


attest to the truth of the foregoing circumstances and for whatever
legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this _____ day


of ____________ at Tagum City, Davao del Norte.

___________________
Affiant

SUBSCRIBED AND SWORN to before me this ________ day of


_______________ at Tagum City, Davao del Norte. Affiant exhibited to me
her PRC I.D. No. _________________.

You might also like