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Republic of the Philippines City of Makati

) ) S.S.

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS


We, _________, of legal age, Filipino, and with residence and postal address at _______and ______________ likewise of legal age, Filipino, and with residence address___________, after having been duly sworn to in accordance with the law, do hereby depose and state: 1. That we personally know________________, of legal age, Filipino and with residence and postal address at ______________ She is our ______and have known her since childhood; 2. That unfortunately, when she enrolled for primary education, her name was erroneously entered as____________. She has been using this name ever since and this appears in all of her education and employment records as well as in all her other documents. 3. That we hereby state under oath that the names______________, as appearing in her birth certificate and passport and____________, as appearing in all her other records, refer to one and the same person; 4. That we are executing this affidavit to support her request to have all her records amended to reflect the name _________________, the name appearing in her birth certificate and passport. 5. That I am executing this affidavit to attest to the truth of the foregoing facts and for whatever legal intents and purposes it may deem serve. In Witness whereof, I have hereunto set my hand this ___ day of ____,2010 at _______

_____________________ Affiant ID No.____________

________________________ Affiant ID No._________________

SUBSCRIBED AND SWORN TO BEFORE ME, this _____ day of _______,2010 at _________________. NOTARY PUBLIC DOC. NO. ______ PAGE NO. ______ BOOK NO.______ SERIES OF _____