HQP-PFF-029

(V03, 08/2017)

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, , of legal age, Filipino,

single/married/widow/er and presently residing at
, and , of legal age, Filipino,
single/married/widow/er and presently residing at ,
both after being duly sworn to in accordance with law, depose and state that:

1. We personally know of
, being acquaintance for a long period
of time;

2. We declare, confirm and affirm that he/she was born at

, Province of , Philippines,
on the day of the 20 ;

3. He/she has been using the said birth date in all his/her documents and
transactions;

4. We are not related by affinity or consanguinity to the above mentioned

person; and

5. We are executing this affidavit to confirm and affirm the foregoing facts and
for whatever legal purpose it may serve.

IN WITNESS WHEREOF, WE have hereunto set our hands this day of

, 20 at .

Affiant Affiant
No. No.
Date of Issue Date of Issue
Expiry Date Expiry Date

SUBSCRIBED AND SWORN to before me in the this

day of , by affiants, who have satisfactorily proven to
me his/her identity through their identifying documents written below their name and
signature, that they are the same persons who personally signed before me the
foregoing Joint Affidavit of Two Disinterested Persons and acknowledged that they
executed the same.

NOTARY PUBLIC

Doc. No.
; Page No.
; Book No. ;
Series of
.