Waiver and Permit Agreement

Dear Sir/Madam:

Good day!

We would like to inform you that 5th year Mechanical Engineering students of Bataan State University will be having a plant visit this coming Thursday and Friday (August 30-31, 2002) in various industrial and power plant in Bataan.  The activity aims to give insights to the students regarding the actual processes as related to the course, Industrial Processes and Plant Inspection.

Here are the lists of Industrial and Power Plant included in this plant visit:

Department of Defense (Lamao, Limay, Bataan)
Philippine Resins Industries, Incorporated (Batangas II, Mariveles, Bataan)
Bataan Nuclear Power Plant (Morong, Bataan)

In accordance to this plant visit, there will be a payment of Php 400 for the transportation including the fair to Subic, Zambales.  We decide to include Subic, Zambales so the students can unwind for a while, to enjoy the remaining hours of the tour and to make the most of the fee.

Thank you and God bless!

Respectfully yours,

Mr. Ron Allen Santos

I have carefully read this waiver and permission agreement and understand the terms and condition of it and agree to be bound thereby and give permission to my son/daughter to participate in this plant visit.

Signature over Printed Name



That I, Edwin M. Navarro, Filipino, of legal age, a resident of #281 Wawa St., Abucay, Bataan, is the lawful owner of a certain motor vehicle which is more particularly described as follows:

MAKE : Kawasaki
MOTOR NO.:  KC125EEB4873
PLATE NO. : TC-RL-1469
YEAR MODEL :  2001
FILE NO.:  0308-00000029061
C.R. NO.: 04719420

That for and in consideration of the sum of Twenty Five Thousand Pesos (P25.000.00) PESOS, Philippine Currency, receipt whereof is hereby acknowledged to my entire satisfaction, I hereby sell, transfer and convey by way of Absolute Sale unto Miriam L. Jaime, Filipino, of legal age, and resident of Siongo Subd. Abucay, Bataan, the above described motor vehicle, free from all liens and encumbrances.

IN WITNESS WHEREOF, we have hereunto affixed our hands this____ day of _______________ at ________________.

Edwin M. Navarro                              Miriam L. Jaime
Vendee                                              Vendor

Signed in the presence of:




Pag-ibig Notice of Approval

May 13, 2011

HL Account No. 456176478
Mr. Eduard Zonnia
Rosal St.
Abucay, Bataan

Dear Mr. Zonnia:

We wish to inform that your HDMF housing loan application for House Construction has been approved in the amount of Seven Hundred Fifty Thousand Pesos (Php 750,000.00)/

The loan shall bear an interest rate of Seven percent (7%) per annum.  However, we shall re-price the interest rate of your loan every three (3) years at rates based on prevailing market rates at point of re-pricing, which shall not exceed NINE (9%) per annum.  It shall be secured by your Real Estate Mortgage on certain property covered by TCT/CCT No. T-134267 by the Registry of Deeds of Bataan.

In line with this approval, you shall execute a Loan and Mortgage Agreement (LMA) in favor of the HDMF which shall be annotated on the TCT/CCT, whereupon you are to submit the following documents:

–    TCT/CCT in the name of borrower with proper mortgage annotation in favor of HDMF (Owner’s Duplicate copy)
–    Certified true copy of TCT/CCT in the name of borrower with proper mortgage annotation in favor of HDMF (RD’s copy)
–    Certified true copy of tax declaration of lot upon annotation of mortgage
–    Loan and Mortgage Agreement duly registered with Registry of Deeds bearing original RD stamp
–    Duly accomplished/notarized Promissory Note
–    Building/Electrical/Sanitary Plans and Permits duly approved by the building official
–    Occupancy Permit
–    Please refer to Annex “A” for other terms and conditions

You are automatically covered by an interim insurance from date of issuance of this notice up to takeout date.  The interim insurance premium shall be based on number of days from date of issuance of this notice up to date of the voucher, and shall be deducted from your loan takeout proceeds.  In case the effectivity period of this notice has lapsed but was later extended, the interim insurance coverage shall take effect from the date of extension.

Your upgraded contributions, net of mandatory contributions, shall be incorporated to your monthly payments.  However, if you are an individual payor/self-employed or POP member, both the mandatory and upgraded contribution shall be incorporated to your monthly payments.  In either case, said contributions shall be considered as contributions for the applicable month.

You are hereby requested to pay an additional of Two Thousand Pesos (Php 2,000.00) as processing fee upon loan takeout.

The HDMF guarantees to release net proceeds of the loan provided all loan documentation requirements are submitted to HDMF within ninety (90) calendar days from receipt of this advice, and the same are found to be complete, valid, and acceptable.  Otherwise, the loan shall be deemed cancelled.

Should you have any query regarding your application, please visit our office or call us at telephone numbers: (047) 481-3606 and 481-1181.

Very truly yours,

Asst. Dept. Manager

Application for Probation

Republic of the Philippines
Third Judicial Region
Branch I
Balanga, Bataan


-versus –


Accused, Dexter L. Santos, hereby applies for probation under the provisions of PD. NO. 968 and declares:

  1. That the accused is of legal age, married, and a resident of Brgy. Wawa St, San Fernando, Bataan;
  2. That he has been convicted of the crime of ‘VIOL. OF SEC. 16 ART. III OF R.A. 6425” as amended and was sentenced to suffer the penalty of six (6) months to two (2) years, four (4) months and one (1) day;
  3. That he has not began to serve the term of imprisonment imposed against him;
  4. That the crime for which he has been convicted is not an offence against the security of the state;
  5. That he has not been previously convicted by final judgment of any offense punished by imprisonment of not less than one (1) month and one (1) day and/or a fine of not less than Php500.00;
  6. That he has not been once on probation under the provision of PD 968 as amended.

Balanga City, Bataan, April 21, 1990.


Copy furnished:

Prosecutor’s Office
Balanga, Bataan

Bataan Parole and Probation Office
Balanga, Bataan

Affidavit of Change of Status

Affidavit of Change of Status

That I, AIKO HERRERA SANTOS, married, of legal age, Filipino and presently residing at Wawa Abucay, Bataan, after having been sworn to in accordance with law, hereby depose and state:

  1. That I was legally married to Jomari Santos on February 28, 2005 at Abucay, Bataan;
  2. That, per the Certificate of Registration and Official Receipt of my vehicle identified as NISSAN BLUEBIRD with Plate No. PTT-421, my status then is SINGLE and using the name AIKO M. HERRERA as my maiden name;
  3. That the names AIKO HERRERA SANTOS and AIKO M. HERRERA refers to one and the same person;
  4. That, I am executing this affidavit to attest to the truth of the statements and for other legal purposes that this may serve.

Affiant further sayeth naught.

Abucay City, Bataan        May 21, 2008


SUBSCRIBED AND SWORN TO, before me this ____day of ____, 2008 at Abucay, Bataan.

Doc. No. _____
Page No _____
Book No. _____
Series of 2008

Affidavit of Guardianship

Republic of the Philippines
Municipality/City of Balanga
Province of Bataan


I, ___________, after having been sworn to in accordance with law, do hereby depose and say that:

  1. I am of legal age, single/married and a resident of_____________________;
  2. I am the parent/court appointed guardian of_____________________(name of minor);
  3. I am submitting a photocopy of the Birth Certificate of the minor,  ______________ (if parent) or court appointment as guardian of said minor (if judicial guardian);
  4. ________________________ (name of minor) maintained Time Deposit/Savings/Current Accounts No/s. ____________ with _______________ under the account name _____________________________;
  5. I, on behalf of ____________________________ (name of minor)  hereby lay claim to the deposit insurance due on the account;
  6. I shall be held liable to any person, that may be prejudiced by my representations, in addition to other liabilities, civil or criminal, that may arise therefrom; hereby releasing and discharging PDIC from any all further obligations in connection with this claim;
  7. I further undertake to refund PDIC the amount paid to me including interests thereon and indemnify PDIC, the bank and/or third parties for any loss or damages occasioned by such payment.

I am executing this affidavit to attest to the truth of the foregoing facts.

IN WITNESS WHEREOF, I have hereunto set my mind this ____ day of ___________ at ______________.

Parent or Judicial Guardian

SUBSCRIBED AND SWORN to before me in the Municipality/City of ___________ this ____________ day of _______________________ by _____________________, who has satisfactorily proven his/her identity to me through his/her ___________________ issued on ____________________ in ____________________, , that he/she is the same person who personally signed the foregoing affidavit before me and acknowledged that he/she executed the same

Notary Public

Doc. No. ______:
Page No. ______:
Book No. ______:
Series of ______: