You are on page 1of 1

Republic of the Philippines

City of Puerto Princesa

)
)S.S.

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS


WE, JUDITH C. ALISUAG and ALEEN JAY B. ARQUERO, both of
legal age, both single, and residents of Puerto Princesa City, after having been
duly sworn to in accordance with law, hereby depose and say:
a.

That we personally known EMILIA CONCEPCION D. SEVERINO


because we are family friends and we have known her for several years;

b.

That we also personally know that EMILIA CONCEPCION D.


SEVERINO has been using that name since she was a child;

c.

That we personally know that from available records, his authenticated


Birth Certificate indicates that her name is EMILIA CONCEPCION D.
SEVERINO;

d.

That we attest that EMILIA CONCEPCION D. SEVERINO and E.


CONCEPCION C. SEVERINO is one and the same person;

e.

That we are executing this affidavit in order to attest to the truth of the
facts aforementioned, and for any legal purpose this may serve.

IN WITNESS WHEREOF, We have hereunto set my hand this 5 th day of


November 2013, at the City of Puerto Princesa, Province of Palawan.

AFFIANTS
JUDITH C. ALISUAG
ID/CTC. No. _____________
Issued on:_______________
Issued at: Puerto Princesa
City

ALEEN JAY B. ARQUERO


ID/CTC No. _____________
Issued on: _______________
Issued at: Puerto Princesa
City

SUBSCRIBED AND SWORN to before me this _____________ at


____________, affiants exhibiting to me their competent evidence of identity
written below their names.
Doc No. ___;
Page No. ___;
Book No. ___;
Series of _____.

Notary Public