REPUBLIC OF THE PHILIPPINES)

City of Tacloban ) S.S.

x----------------------------------x

JOINT AFFIDAVIT
(TO SUPPORT APPLICATION FOR BIR-CERTIFICATE OF TAX EXEMPTION)

We, _____________________ and _____________________, of legal ages, husband

and wife, and residents of ________________, after having been duly sworn to in
accordance with law, hereby depose and say:

1. That we are the biological/natural parents of ____________, who was born on

___________ at _______________, eldest of three siblings;

2. That we are am not gainfully employed and thus, we only generate minimal
income from being a farmers and growing some crops in our backyard enough
to help to support our (no. of children) children and our family’s sustenance;

3. That our income is only sufficient to support the family’s basic needs thus we
found it insufficient to support our son with his college education;

4. That we do not own any business enterprise in the _________________________ as

evidenced by a ______________, , hereto attached as annex “A”;

5. That neither we own or are have any parcel of land or real properties registered
under our name as evidenced by a _____________, hereto attached as annex “B”;;

6. That we are executing this affidavit to attest to the truth of the foregoing facts in
support of our request before the Bureau of Internal Revenue for the issuance
of Certificate of Tax Exemption in connection with our application for the
Scholarship Program ___________________ in favor of our son
____________________ and for all other legal intents or purpose this affidavit may
serve;

IN WITNESS WHEREOF, we have hereunto set our hands this _________ in

Tacloban City, Philippines.

XXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXX
Affiant Affiant
Valid ID: _________________________ Valid ID: ________________________
Issued on: _________ at _______________ Issued on: _________ at _______________

SUBCRIBED AND SWORN TO before me this ___________ in xxxxxx, affiants

exhibiting to me their competent proof of identification written below their names.

Doc. No. _____; Notary Public

Page No. _____;
Book No. _____;
Series of 2018.