REPUBLIC OF THE PHILIPPINES )

City of Cebu ) S. S.

AFFIDAVIT OF TWO DISNTERESTED PERSONS

WE, ____________________________, Filipino, single/married, of legal age,

and a resident of _____________________________________; and
_____________________________ Filipino, single/married, of legal age, and a resident
of _____________________________, after having been duly sworn to in accordance
with law, hereby depose and state:

1. That we personally know ____________________, who gave birth to:

Name of Child Date and Place of Birth

1.
2.

2. That we also personally know that the biological father of said child/children and
their mother never got married, and their relationship was terminated on
__________________; / or prior to her giving birth to their child/children;

3. That she was thereafter left alone with the sole responsibility of parenthood but
with the guidance and help of her family and up to the present, she is solely
providing for the needs of her children;

4. That we personally know ________________ as she is our longtime friend and

neighbor in our community;

5. That we execute this affidavit to attest to the truth of the foregoing facts and for
whatever legal purpose it shall likewise serve.

FURTHER AFFIANTS SAYETH NAUGHT.

IN WITNESS WHEREOF, we have hereunto set our hands on this

_____________, in the City of Cebu, Philippines.

Name of Affiant Name of Affiant

AFFIANT AFFIANT

SUBSCRIBED & SWORN TO before me on this _____________, in the City of

Cebu, Philippines, that the affiants exhibited to me competent evidence of identity as
indicated below:

Name TYPE OF ID Number Date issued/expiry

Doc. No.
Page No.
Book No.
Series of 2020.