Republic of the Philippines

Province of Isabela

Municipality of Cauayan

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

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

We, _________________ and _________________, Filipinos, of legal ages, and
residents of _____________________, having been duly sworn in accordance with law, hereby
depose and state:

That we have personally known the person of ____________________ for a long time
now;

That we know for a fact that __________________ was born on August 19, 1949 at
__________________ to parents ___________________ and __________________.

As such, we execute this Affidavit or attest to the truth of the foregoing facts and for legal
purposes.

IN WITNESS WHEREOF, we have set our hands this 28 th of September 2016 at

________________________.

____________________
Affiant

____________________
Affiant

SUBSCRIBED AND SWORN to before me, this _____________, by the affiants who are
personally known to me.

WITNESS my hand and seal.

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