REPUBLIC OF THE PHILIPPINES)

CITY OF ILOILO_____________) S.S.

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

JOINT AFFIDAVIT OF COHABITATION

We, GELBERT MAGNO PALOMAR and MARY JAN GABIANO TIRADOR both of legal
age, Filipino, single (living together) and both residing at Brgy. Sambag, Jaro, Iloilo City, Philippines,
after having been duly sworn to in accordance with law, depose and state:

1. That we have been living together as husband and wife under the same roof, continuously and
without any interruption, since 2016 or a period of more than five (5) years;

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

3. That during said cohabitation, we were blessed with one Daughter namely SIRRI
ATHALIAH TIRADOR PALOMAR, born on November 12, 2021;

4. That we are executing this affidavit of cohabitation to attest to the truth of the foregoing facts
and for the purpose 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 ___ day of ______ in the City
of Iloilo, Philippines.

GELBERT M. PALOMAR MARY JAN G. TIRADOR

Affiant Affiant
ID No. _____________ ID No. ______________
Issuing Agency ______________ Issuing Agency _____________

SUBSCRIBED AND SWORN to before me this ____ day of _____________, 2022, in the City
of Iloilo, Philippines. Affiant exhibiting to me their competent proof of identity below their names,
personally signed the foregoing instrument before me and avowed under penalty of law to the whole truth
of the contents of said instrument.

WITNESS MY HAND AND NOTARIAL SEAL on the day, year and place first above-written.

Doc. No.______
Page No.______
Book No.______
Series of 2022