AFFIDAVIT OF TWO DISINTERESTED PERSONS

I, , citizen, of legal age, and with

(complete name of Affiant 1)

residence address at ,

and I, , citizen, of legal age, and with

(complete name of Affiant 2)

residence address at ,

after having duly sworn in accordance with law, hereby depose and state: THAT –

1. We personally know ;
(complete name of person)
2. We declare and certify that to the best of our knowledge he/she was born on
in the town of in the
(date of birth) (city/municipality of place of birth)

province of , in the Philippines;

3. We are not related by consanguinity or affinity to the child’s parents;
4. We are executing this affidavit to attest to the truth and veracity of the
foregoing facts and for whatever legal purpose it may serve.

FURTHER AFFIANTS SAYETH NAUGHT.

Affiant Affiant

SUBSCRIBED AND SWORN to before me this day of in

.

NOTARY PUBLIC