Republic of the Philippines )

Quezon City..) S.S.

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, ________________________ and __________________________, both of legal age,

Name of Person/s

Filipino, with residence at ____________________________________________________________

Place of Residence

________________________________________________ respectively, after being duly sworn to

in accordance with law do hereby depose and say that:

1. That we have known _______________________________ for at least ______ (__) years

now because__________________________________________________________________
____________________________________;
2. That we know that the given name/ surname used by ______________________________
in his/her Certificate of Live Birth is _______________________________;
3. That the s/he also uses the first name/ surname ___________________________ because
______________________________________________________________________;
4. That we are executing this Affidavit to prove that ______________________________ and
_______________________________ are one and the same person;
5. That we are not related by affinity or consanguinity to him/her;
6. That we are executing this affidavit to attest to prove that the above-named person is
one and the same for whatever legal purpose this may serve.

IN WITNESS WHEREOF, WE have hereunto set our hands on this ___ day of
___________________, 201__ in Quezon City.

_____________________________ ______________________________
Affiant Affiant
I.D. ______________________ Expiry __/___/___ I.D. ________________________ Expiry __/___/___

SUBCRIBED AND SWORN to before me, this ____ day of _________________, 201__ in
Quezon City, affiants exhibited to me their above-mentioned competent evidence of identity.

Doc. No. ___;

Page No. ___; NOTARY PUBLIC
Book No. ___;
Series of 201_.