Republic of the Philippines)

City of Kabankalan ) S.S

X- - - - - - - - - - - - - - - - - - X
JOINT AFFIDAVIT
(Birth Order)
We, ______________ and _____________ of legal ages, Filipino and a residents of
__________________ and ______________,_________________, Negros Occidental,
Philippines after having duly sworn to in accordance with law hereby depose and state
That:

1. We are the _____________ of the Spouses _________________ and

____________________ for _____years, more or less of
__________________,_________________ Negros Occidental;

2. We know for a fact that ________________give birth to ___( ) children’s in the

following correct order namely;
a. __________________ (1st )
b. __________________ (2nd )
c. __________________ (3rd )
d. __________________ (4th )
e. __________________ (5th )
f. __________________ (6th )
g. __________________ (7th )
h. __________________ (8th )
3. However in their certificate of live birth , their birth order was erroneously
recorded as:
a. __________________ (1st )
b. __________________ (2nd )
c. __________________ (3rd )
d. __________________ (4th )
e. __________________ (5th )
f. __________________ (6th )
g. __________________ (7th )
h. __________________ (8th )
4. Their true and correct birth order are as follows;
a. __________________ (1st )
b. __________________ (2nd )
c. __________________ (3rd )
d. __________________ (4th )
e. __________________ (5th )
f. __________________ (6th )
g. __________________ (7th )
h. __________________ (8th )
5. We execute this affidavit to attest to the truthfulness of the forgoing declarations
and for any other legal purpose that this affidavit may serve.

IN WITNESS WHEREOF, We hereunto affixed our signatures this _____________at

Kabankalan City, Negros Occidental, Philippines.

___________________________ ______________________
Affiant Affiant

SUBSCRIBED AND SWORN TO before me this 19th day of August 2019 at Kabankalan City,
Negros Occidental.