(Affidavit of Legitimation of Child)

Republic of the Philippines)

Province of _________________)S.S.
City/Municipality of __________)x - - - - - -

JOINT AFFIDAVIT OF LEGITIMATION

We, _____________ and _____________, both Filipinos, of legal age, married and presently
residing at _____________, Philippines, having been duly sworn in accordance with law, hereby
depose and state:

1.That we have been legally married to each other on _____________ at a wedding ceremony
solemnized by _____________.A copy of our marriage certificate is attached hereto and made an
integral part of this affidavit.

2.That prior to our marriage and outside of wedlock, a child, named _____________, was
conceived and born on _____________ at _____________.

3.That at the time of the conception of said child, we were not disqualified by any impediment to
marry each other, and, therefore, by virtue of our subsequent marriage, the said child is now
legitimated by operation of law, particularly Article 177 of the Family Code.

4.That we execute this affidavit to declare the truth of the foregoing facts.

IN WITNESS WHEREOF, we have hereunto set our hands this _____________ at

_____________, Philippines.

Affiant Affian

(JURAT