AFFIDAVIT OF TWO DISINTERESTED PERSONS

I, ___________________________, ___________ citizen, of legal age, and with

residence address at ____________________________________________________,
and I, ___________________________, ___________ citizen, of legal age, and with
residence address at ________________________________________________,after
having duly sworn in accordance with law, hereby depose and state: THAT

1. We know __________________________ and ______________________

as the parents of the child ___________________________ and have known
them since __________________;
2. We also know their child, ____________________________ and have known
him/her since ____________________;
3. We are not related by consanguinity or affinity to the childs parents;
4. We are executing this affidavit to attest to the truth and veracity of the
foregoing facts and in compliance with the requirements of the Philippine Civil
Registrar.

FURTHER AFFIANTS SAYETH NAUGHT.

_________________________ _________________________
Affiant Affiant

SUBSCRIBED AND SWORN to before me this _____ day of _____________ in

____________________________.

NOTARY PUBLIC