Republic of the Philippines)

Province of Cagayan ) S.S.

Tuguegarao City )
x------------------------------------------x

AFFIDAVIT
OF TWO DISINTERESTED PERSONS

We, ________________ and ______________________, Filipinos, of

legal ages, and residents of _____________________ under oath depose
and state:

1. We personally know ______________________ who was born on

October 23, 1965 to parents __________________________;

2. We have personal knowledge of the foregoing facts because

we are their long time family friends;

3. In fact, we attended the first birthday and baptism of

____________________________;

4. We have executed this Joint-Affidavit freely, voluntarily and

intelligently and to attest to the truthfulness of the foregoing
statements and to facilitate the late registration of the birth
of _________________________.

IN WITNESS WHEREOF, we have hereunto affixed my signature

this ________________ at Tuguegarao City, Cagayan, Philippines.

Affiant Affiant

SUBSCRIBED AND SWORN to before me this ________________

at Tuguegarao City, Cagayan, Philippines.

Doc. No. ____

Page No. ____
Book No. ____
Series of 2019