Republic of the Philippines )

Province of Albay )s.s

Ligao City )
X______________________x

AFFIDAVIT OF TWO DISINTERESTED PERSONS

We, _____________________________________and _____________________________

both of legal age, Filipino citizens,single/married/widowed respectively, and with residence and
postal address at _______________________________________, Philippines, after having been
duly sworn to in accordance with law hereby depose and say:

1. That we knoe personally one ___________________________________________ a

legitimate/illegitimate child of the spouses
_____________________________________and
________________________________both residents of ___________________________.

2. That according to our knowledge and recollection, the subject child was born on
______________________________, at ________________________________________.

3. That we have fully knowledge of his/her birth because aside from being neighbors, we are
closely acquainted with her family;

4. That we are executing this Joint Affidavit voluntarily and without the promise of gains now
we are related to the subject child or his/her family so that we have no reason to state the
foregoing falsely;

5. That we are executing this Joint Affidavit in order to attest to the true circumstances of birth
of ____________________________________________________________________and
for applying for Late Registration.

6. Further affiant sayeth none.

IN WITNESS WHEREOF, we have hereunto set our hands this __________ day of
________________, 2024 at Ligao City, Albay, Philippines.

________________________________ _____________________________
Affiant Affiant

CTC No. ___________________ CTC No. _____________________

Issued on __________________ Issued on ____________________
At ________________________ at __________________________

SUBSCRIBED AND SWORN to before me this ______ day of ____________ 2024 at

Ligao City, Philippines.

GLENN MARK E. LETADA

Acting City Civil Registrar