REPUBLIC OF THE PHILIPPINES )

CITY OF PASAY ) S.S.

JOINT-AFFIDAVIT OF BIRTH

We, _______________ and _____________________, both of legal age, Filipinos, and

presently residing at ___________________________________________ and with law, hereby depose
and state, that:

1. We both personally know _______________________, having been born on

_________________ at, _____________ to the spouses, ____________ and _____________;

2. We are not in any way related to the said ________________________ either by affinity or
consanguinity;

3. We are aware of the facts about here birth because we are close family friends and neighbors of
the _________________family;

4. We are executing this Joint-Affidavit of Birth in order to attest to the truth of the
aforementioned facts and circumstances and for whatever legal purposes it may worth.

AFFIANTS FURTHER SAYETH NAUGHT.

IN WITNESS WHEREOF, we have hereunto set our hands on this ____________ day of
__________ 200__ in ______________________.

____________________ ______________________
AFFIANT AFFIANT

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

______________ City, Philippines.

NOTARY PUBLIC

Page No. ______;

Doc No._______;
Book No.______;
Series of 200___;