( Fo rChi l dt oAppl yf o rSt ude ntDr i v e r ' sPe r mi mi t ) I , LBERTO PATUBAY,o fl e g alag e ,Fi l i pi no ,ma mar r i e d and wi t h A r esi denceandpost aladdr essatSi t i oLut ao,BarangayTambul i l i d,Orm mo ocCi t y , Leyt e,af t erhavi ngbee n dul yswor n and oat hi n accor dancewi wi t hl aw her eby v ol unt ar i l yde poseandsay: 1.
That Iam t he f at he r ofJOHN ALBERT P.BLANCO, O,who i s appl yi ngf oraSt udentDri ver ’ sPermi mi tatt heLandTransport at i on Offic e( LTO) ;
2.
That I am gi v i ng f ul lc ons e nt t o my son,JOHN ALBERT P. BLANCO,i nhi sappl i cat i onf oraSt udentDri ver ’ sPermi mi t ;
3.
Thatt her ei sno cr i mi nalcas ependi ngi n courtag ai ns thi m nor has hebeen charge d ofsubver si on,r ebel l i on ori nsurr ect i on i n anyc our to ft hePhi l i ppi ne s ;
4.
That Iam e xec ut i ng t hi s affid ffidav i tt o dec l ar et he t r ut h oft he f or egoi ngf act sast omyunder t aki ngt ogi veconsentt omyson’ s appl i c at i o nf o rSt ude ntDr i v e r ’ sPe r mi mi t .
I N WI TNESS WHEREOF,Ihav eher eunt ose tmyhand,t hi s30t h dayofMar c h 2017atOrmo mocCi t y ,Leyt e,Phi l i ppi nes.
AL BERTO P ATUBAY
Affiant
SU UB BSCRI BED AND SW WO ORN t obef or eme me,t hi s_ _da yofMar c h 2017 at Or moc Ci t y , Le yt e, Phi l i ppi nes, affi ffia ant e xhi bi t i ng t o me hi s _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _wi t h_ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ .
Doc.No.____ _; PageNo.__ ___ ; BookNo.__ __ _; Ser i esof2017.
