REPUBLIC OF THE PHILIPPINES)

CITY/MUN. OF PASAY) S.S.

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

JOINT AFFIDAVIT OF COHABITATION

          WE___ and ____O, both of legal age, Filipino, single (living

together) and residents of BLK 6___, after having been duly sworn to in
accordance with law, depose and state THAT:

1. We have been living together as husband and wife under the same roof,
continuously and without any interruption, since December 25, 2015;

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 are executing this affidavit to attest to the foregoing facts and for the
purposes of Seaman/ Maritime requirements/ application and for other legal
or lawful purpose it may serve. 

IN WITNESS WHEREOF, we have hereunto set our hands

this ___________________in _______________, Philippines.

  

__________________ ____________________
Affiant Affiant
SSS ID No. _____________ GSIS ID No. _____________

        SUBCRIBED AND SWORN TO before me

this ___________________ in _________________, Philippines, affiants
exhibiting to me their valid proofs ofidentification.

Doc No.
Page No.
Book No.
Series of 2018