(Joint Affidavit to Establish Date of Birth)

REPUBLIC OF THE PHILIPPINES)

Province of ____________________) S.S.

City/Municipality of _____________)

x-----------------------x

JOINT AFFIDAVIT

We, _____________ and _____________, both Filipinos, of legal ages and residents of
_____________, Philippines, having been duly sworn in accordance with law, hereby depose and state:

1. That we both personally know the person of _____________ since his childhood
because formerly, we had lived in the same locality for a long time, and his family
has been a close family friend;

2. That we also know and we hereby declare that the said _____________ was born on
_____________ at _____________, Philippines;

3. That we are not related in any way, either by consanguinity or affinity, to the said
_____________;

4. As such, we execute this Joint Affidavit to attest to the truth of the foregoing facts
and for any other legal purpose that this Affidavit may serve.

IN WITNESS WHEREOF, we have hereunto set our hands this _____________, at

_____________, Philippines.
AFFIANT AFFIANT

(JURAT)