REPUBLIC OF THE PHILIPPINES )

CITY OF GENERAL SANTOS ) S.S.

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JOINT - AFFIDAVIT OF COHABITATION

WE, NAMES, Filipinos, of legal ages, and both are residents of General
Santos City, Philippines, after having been duly sworn to in accordance with
law, hereby depose and state, THAT:

1. We living or cohabiting together as husband and wife since 2011 or for

more than 6 years now at General Santos City and have produced one
(1) child, namely,;

2. We have continuously live together as spouses and are staying or

residing in the same residence together with our said child in General
Santos City.

3. We further certify and declare under oath of the veracity and

truthfulness of the statements herein made.

4. We are executing this affidavit to attest to the truth of the foregoing

facts.

IN WITNESS WHEREOF, I have hereunto set my hand this

_____________ at General Santos City, Philippines.

NAME NAME
Affiant Affiant
PWD ID No

The SIGNATURE and/or THUMB MARK made by ___________________

is affixed in the presence of and witnessed by the two (2) disinterested
witnesses/relative witnesses:

_ _
Witness to the Thumb Mark & Signature Witness to the Thumb Mark & Signature
TIN No. 190-451-493 School ID No. 341687

SUBSCRIBED AND SWORN to before me this _ ______________, a

Notary Public for and in the City of General Santos, Philippines, affiants
having exhibited to me their competent means of identification bearing their
photographs and specimen signatures wherein their identities are easily
verifiable as indicated above and they certified before me that the said
identification cards belongs to them.

Doc. No. ___;

Page No. ___;
Book No. ___;
Series of 2019.