REPUBLIC OF THE PHILIPPINES)

QUEZON CITY ) S.S

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

RE: ONE AND THE SAME PERSON

WE, __________ and _________, both of legal ages, Filipinos, married, respectively and both are residents
of _____________________, after having been sworn in accordance with the law hereby depose and state
that;

We personally know ________________, who is our long-time neighbor and acquaintance at

_____________________, and the fact of his birth is registered at the Local Civil Registrar of
___________________;

We know for a fact that the person by the name of “_____________” as appearing in some documents or
specifically in his Certificate of Live Birth and identification cards and the name “___________________”
as appearing in his school records, refer to one and the same person and that his true and correct name
is __________________;

We are not in any way related to any of the foregoing person within the fourth civil degree either by
consanguinity or affinity, nor do we have any pecuniary interest in this matter whatsoever;

To remove confusion as to the two names, we hereby declare that the name __________________ and
________________ refer to one and the same person whose registered name is ________________;

We are executing this affidavit to attest to the truthfulness of the foregoing statements and to establish
the real identity of __________________ and for all legal intents and purposes it may serve.

IN WITNESS WHEREOF, we have hereunto set our hands this 27th day of May 2017 at __________,
Philippines.

_____________________ __________________
Affiant Affiant

SSS ID No: 00-0000000-1 PRC ID No: 0003384

SUBSCRIBED AND SWORN TO before me this 27th day of May 2017 at _________ Philippines.

Doc. No.___;
Page No. ;
Book No. XXIV;
Series of 2017.