REPUBLIC OF THE PHILIPPINES

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JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

We,____________, of legal age, Filipino citizen, married and a resident of

_______________ and __________________, of legal age, Filipino citizen, married, and
a resident of _______________________ after having been duly sworn in accordance with
law, hereby depose and state:

1. That we personally know the person of_____________, who is a resident

of______________________;

2. That he is the child of _________ and_______________;

3. That we have known him since his family is close to us;

4. That his FATHER’S NAME is correctly stated as “___________” as appearing

in his Marriage Contract issued by the National Statistics Office AND NOT
“______________” NOR “________________” as indicated in his Certificate of Live
Birth and Certificate of Death, respectively;

5. That the names “_______, ________, and _________” refer to ONE and THE
SAME PERSON;

5. That the discrepancy in his FATHER’S NAME could have been due to an honest
mistake or clerical error committed at the time it was applied for;

6. As such, we execute this Affidavit to 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

Maramag, Bukidnon, Philippines.

Affiant Affiant

SUBSCRIBED AND SWORN to before me, this ______________, by above-

named affiants with ____________ issued at ____________ and _______________ issued
at____________________, respectively. I HEREBY CERTIFY THAT THEY UNDERSTOOD
THE CONTENTS OF THIS AFFIDAVIT AND THAT THE SAME IS TRUE AND CORRECT
ACCORDING TO THEIR OWN KNOWLEDGE AND BASED ON AUTHENTIC RECORDS.

Doc. No. ______;

Page No. ______;
Book No. ______;
Series of 2017.