Section 52
Section52. The form of declaration of location of a placer claim and of the accompanying affidavit required by this Act shall be substantially as follows: DECLARATION OF LOCATION (PLACER) 1. The undersigned hereby declare ___________________ and give _______________ notice that, having complied with the provisions of Act Numbered ______________________ of the National Assembly, relative to the location of mining claims, __________________________________ of _________________, barrio of _____________________, municipality of _______________________, Philippines and bounded as follows: On the north ______________________________________________ On the east _______________________________________________ On the south ______________________________________________ On the west ______________________________________________ with an approximate area of ________________ hectares. A sketch plan of the above described claim is drawn in the following blank space which shows, as nearly as may be, the shape and size of the claim, the position of the claim with reference to prominent natural objects or permanent monuments and the position of adjoining claims and the north-south direction line: HERE DRAW A SKETCH OF THE LAND. INDICATE THE NORTH DIRECTION BY AN ARROW (SKETCH PLAN) 2. That the name of the above location is the ________________ Placer Mining Claim, and that the same was located by ______________ from _________________, 19____, to ____________, 19____, inclusive, a total period of _________ days. As located, the claim has _______________ corners. The locator ______________ desires _____________ this mineral land for the purpose of extracting minerals therefrom. 3. That on the ____________ day of _____________, 19____, a notice of placer location was posted upon the claim of which the following is a true copy: "NOTICE OF LOCATION" "The undersigned __________________ located at this place, ___________________ hectares of placer mining ground. The name of said claim is the ______________________ Placer Mining Claim. Date of location _______________________, 19_____, ___________ _____________________________________________________________________________ "___________________ " Locator By "_________________ " Agent 4. That Corner No. 1 is situated _________________ meters from ____________________________ and is marked "____________ Corner No. 1 _____________ Placer Mining Claim," and is established by: (a) A {_________ tree __________ cm. in diameter} {fixed rock _________ cm. X _________ cm.} (b) A ________ post {______ cm X _______ cm.} {______ cm. in diameter} set approximately __________ cm. in the ground and surrounded by a mound of {earth/stone}________ cm. in diameter by _________ cm. in height. (c) A stone __________ cm. X __________ cm. X ___________ cm. in length, projecting ________ cm. above the ground. 5. That Corner No. 2 is situated ____________________ meters from Corner No. 1, is marked "________________ Corner No. 2 __________________ Placer Mining Claim," and is established by: (a) A {_________ tree __________ cm. in diameter} {fixed rock _________ cm. X _________ cm.} (b) A ________ post {______ cm X _______ cm.} {______ cm. in diameter} set approximately __________ cm. in the ground and surrounded by a mound of {earth/stone}________ cm. in diameter by _________ cm. in height. (c) A stone __________ cm. X __________ cm. X ___________ cm. in length, projecting ________ cm. above the ground. 6. That Corner No. 3 is situated ___________ meters from Corner No. 2, is marked "_________ Corner No. 3 _________ Placer Mining Claim," and is established by: (a) A {_________ tree __________ cm. in diameter} {fixed rock _________ cm. X _________ cm.} (b) A ________ post {______ cm X _______ cm.} {______ cm. in diameter} set approximately __________ cm. in the ground and surrounded by a mound of {earth/stone}________ cm. in diameter by _________ cm. in height. (c) A stone __________ cm. X __________ cm. X ___________ cm. in length, projecting ________ cm. above the ground. 7. That Corner No. 4 is situated ___________ meters from Corner No. 3, is marked "_________ Corner No. 4 _________ Placer Mining Claim" and is established by: (a) A {_________ tree __________ cm. in diameter} {fixed rock _________ cm. X _________ cm.} (b) A ________ post {______ cm X _______ cm.} {______ cm. in diameter} set approximately __________ cm. in the ground and surrounded by a mound of {earth/stone}________ cm. in diameter by _________ cm. in height. (c) A stone __________ cm. X __________ cm. X ___________ cm. in length, projecting ________ cm. above the ground. __________________ Locator By ________________ Agent ___________________ ___________________ P.O. Address Witness: ____________________ P.O. Address __________ ____________________ P.O. Address __________ ____________________ P.O. Address __________ ____________________ P.O. Address __________ ____________________ P.O. Address __________ P.O. Address __________ ____________________ AFFIDAVIT GOVERNMENT OF THE PHILIPPINES Province of ______________________} s. s. Municipality of ___________________} _________________________ being first duly sworn, deposes and says: That ________________________ citizen __________________ of the ________________, and _____________ of legal age; That the affiant ______________ the {locator/agent} of the said _____________________ who _____________________ the locator ______________ and _________________ cognizant of the facts of the above-mentioned Mineral Claim; That all the notices and posts mentioned in the foregoing Declaration of Location of the _______________ Placer Mining Claim have been put up; That the ground described in the Declaration of Location is valuable for placer mining purposes; and That the land within the boundaries of said Claim is unoccupied by any other person for mining purposes. ____________________ Locator ____________________ Agent Subscribed and sworn to before me this ________________ day of _____________, 19_____, affiant exhibiting his cedula No. ________ issued at ___________________, on the ______________ day of ____________, 19______. ____________________ ____________________ ____________________