Republic of the Philippines )

Baguio City ) S.S.

JOINT AFFIDAVIT OF COHABITATION

We, ROMEL A. BALICHA II and ELMA D. NAVIDAD, both of legal age, Filipino citizens and
residing at No. 4 Costales St., Brgy. Ortiz, Naguilian La Union, under oath, depose and say:

1. We have been living together as husband and wife under the same roof,
continuously and without any interruption, since 2001 or a period of more than
five (5) years;

2. During our cohabitation and even until the present, we remain both of single
status and, hence, there exists no legal impediment for us to marry each other;

3. We were blessed with one daughter named Sharisse Navidad Balicha who was
born on May 12, 2007 in Balanga City, Bataan;

4. We are executing this affidavit to attest to the foregoing facts and for the purposes
of contracting marriage without the need of securing the
marriage license pursuant to the provisions of Article 34 of the Family Code of the
Philippines.

IN WITNESS WHEREOF, we have hereunto set our hands this 23rd day of January 2020 in
Baguio City, Philippines.

ROMEL A. BALICHA II ELMA D. NAVIDAD

Affiant Affiant

SUBSCRIBED AND SWORN TO before me this 23rd day of January 2020 at Baguio City,
Philippines, affiant Romel A. Balicha II having exhibited his Driver’s License bearing license
number C02-15-002277.

Doc. No. 147;

Page No. 31;
Book No. V;
Series of 2020.