Republic of the Philippines)

________________ ) S.S
__________ )
x----------------------------------x

JOIN-AFFIDAVIT
We, _____________________________________, of legal age, Filipino and
residents of _________________________ under oath state:
1. That we personally know the person of ______________________ all of
them our longtime friends and neighbors;
2. That recently, it was discovered in her Certificate of Live Birth,
discrepancies are found as follows:
a. The middle name of _____ is mistakenly printed as ______
instead of her true and correct middle name as _______ which she
uses in most of her pertinent and personal documents as evidence
thereof;
3. That the name/s afore-mentioned as compared to corresponding
documents and records REFER TO ONE AND THE SAME PERSON;
4. That I am executing this affidavit to attest to truth of the foregoing facts, and
for all legal intents and purposes.
IN WITNESS WHEREOF, I hereunto affixed my signature this day of
______________ at ___________________________________.

_____________________________________
Affiant Affiant
ID No: ________________ ID No: ________________

SUBSCRIBED AND SWORN to before me this day of ____________ at

__________________________ by affiants who are personally known to me and
further exhibited their competent identification as shown above.