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Affidavit of Consent Lto

Catherine S. Lomongo, mother of Samantha Nicolle S. Lomongo, provides her consent for her daughter to apply for a non-professional driver's license from the Land Transportation Office. Catherine affirms that Samantha has no pending criminal cases or charges of subversion, rebellion, or insurrection. The affidavit was sworn on January 18, 2023 in Malolos City, Bulacan.

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100% found this document useful (1 vote)
2K views1 page

Affidavit of Consent Lto

Catherine S. Lomongo, mother of Samantha Nicolle S. Lomongo, provides her consent for her daughter to apply for a non-professional driver's license from the Land Transportation Office. Catherine affirms that Samantha has no pending criminal cases or charges of subversion, rebellion, or insurrection. The affidavit was sworn on January 18, 2023 in Malolos City, Bulacan.

Uploaded by

Von Baysan
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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REPUBLIC OF THE PHILIPPINES)

MALOLOS CITY, BULACAN )SS.

AFFIDAVIT OF CONSENT

I, CATHERINE S. LOMONGO of legal age, Filipino citizen, a resident of No. 0903


Decena St. Arkong Bato, Valenzuela City, after having been sworn to in accordance with law
hereby depose and say that:

1. I am the mother of SAMANTHA NICOLLE S. LOMONGO who is applying for a


Non-Professional Driver’s License at the Land Transportation Office (LTO);

2. I am giving my full consent to my said child in her application for a Non-


Professional Driver’s License

3. That there is no criminal case pending in court against her nor has she been
charged of subversion, rebellion or insurrection in any court of the Philippines;

4. I am giving executing this affidavit to declare the truth of the foregoing facts as to
my undertaking to give consent to my child’s application for Non-Professional
Driver’s License.

IN WITNESS WHEREOF, I have hereunto set my hand on this 18TH Day of JANUARY
2023 at MALOLOS CITY, BULACAN.

CATHERINE S. LOMONGO
Affiant

SUBSCRIBED AND SWORN to before me this 18TH Day of JANUARY 2023 at


MALOLOS CITY, BULACAN.

Doc. No. _____;


Page No._____;
Book No._____;
Series of 2023

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