Foreign Service of the Republic of the Philippines x-x-x]

Serbisyong Panlabas ng Republika ng Pilipinas

Philippine Embassy x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x]
Pasuguan ng Pilipinas
Abu Dhabi, United Arab Emirates x-x-x-x-x-x-x-x-x-x-x]

JOINT AFFIDAVIT OF WITNESSES TO A MARRIAGE

(Pinagsamang Sinumpaang Salaysay Tungkol sa Pagiging Saksi sa Kasal)

We, ______________________________________________________ (name of 1 st witness),

Kami, …(pangalan ng unang saksi)
citizen of _________________________________, single/married/_____________ (please specify),
mamamayan ng bansang… … walang asawa/may asawa …(tukuyin),
presently residing at ________________________________________________________________,
kasalukuyang nakatira sa
and ____________________________________________________________ (name of 2nd witness),
at… …(pangalan ng pangalawang saksi)
citizen of _________________________________, single/married/_____________ (please specify),
mamamayan ng bansang… … walang asawa/may asawa …(tukuyin),
presently residing at ________________________________________________________________,
kasalukuyang nakatira sa
both of legal age after having been duly sworn, hereby depose and say:
kapwa may sapat na gulang, matapos makapanumpa ayon sa batas, ay taimtim na nagsasalaysay:

That we personally know ____________________________and ________________________

Na kapwa namin kilala sina… ( groom/ pangalan ng lalaking ikakasal) … at … (bride/ pangalan ng babaeng ikakasal)
for the last ______________________ year/s.
sa loob ng… …na taon/mga taon.

That we know for a fact that the above-named persons have no legal impediment for them to
Na alam namin na ang mga nabanggit ay walang anumang legal na hadlang sa…
contract marriage.
kanilang pagpapakasal

That we are executing this joint affidavit with the full knowledge of the legal consequences
Ginagawa namin ang pinagsamang sinumpaang salaysay na ito na buo ang kaalaman sa mga usaping legal…
in connection with the intention of ______________________________ (name of groom) to
…ukol sa binabalak ni… …(pangalan ng lalaking ikakasal) na…
contract marriage with __________________________________ (name of bride).
...pagpapakasal kay… …(pangalan ng babaeng ikakasal).

In witness hereof, we affix our signatures, this _____ day of ___________________ at the
...Katunayan sa lahat ng ito, nilagdaan namin ngayong Ika- __________ ng _____________________ sa…
Embassy of the Republic of the Philippines in Abu Dhabi, UAE.
…Pasuguan ng Republika ng Pilipinas sa Abu Dhabi, United Arab Emirates.

NAME & SIGNATURE OF AFFIANT NAME & SIGNATURE OF AFFIANT

Pangalan at Lagda ng nanunumpa Pangalan at Lagda ng nanunumpa
PASSPORT #: ___________________ PASSPORT #: ___________________

SUBSCRIBED and SWORN to before me this ________________________ day of _________________________ at the

NILAGDAAN at SINUMPAAN sa harap ko ngayong Ika-… … ng … … sa…
Embassy of the Republic of the Philippines in Abu Dhabi, UAE.
…Pasuguan ng Republika ng Pilipinas sa Abu Dhabi, United Arab Emirates.
Service No. _______________________
Document No.: _______________________
Book No.: _______________________
O.R. No.: _______________________ Consul
Fee Paid: _______________________