Form No.

1--Affidavit One and the Same Person

(Affidavit One and the Same Person)

Republic of the Philippines)

Province of ________________ S.S.
City/Municipality of__________) x- - - - - - - - - x

J O I N T A F F I D A V I T

We,__________and__________, both Filipinos, of legal

ages, and residents of_________and ____________,
respectively, having been duly sworn in accordance with
law, hereby depose and state:

That we have personally known the person of MARIA CLARA

for a long period of time having been her long time
friend; That we know for a fact that the person by the
name of" MARIA CLARA" appearing in some documents and
records or specifically in her Certificate of Live Birth
and the name "MARIA CLARA" as appearing in the records of
Social Security Systems (SSS), refer to one and the same
person and that her true and correct name is MARIA CLARA;

As such, we execute this Affidavit or attest to the truth

of the foregoing facts and for whatever legal purpose
that this Affidavit may serve.

IN WITNESS WHEREOF, we have set our hands this__________,

at__________, Philippines.

AFFIANT AFFIANT

(JURAT)