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Republic of the Philippines)

City of )
x - - - - - - - - - - - - - - - - -/

JOINT AFFIDAVIT

We, _____________________________, Filipino, of legal age,


married and a resident of _________________,____________, and
_______________________, likewise Filipino, of legal age, married and
a resident of _______________, ___________, after having been sworn
to an oath in accordance with law, hereby depose and declare
THAT:

1. WE, ______________________ and ______________, are


residents of ________________, ______________ since 1973 and 1979,
respectively;

2. I,____________, served as the ________________(position


ex. Punong Barangay) of Brgy. __________, _____________ from
_____-______;

3. I, ______________ is an incumbent Brgy. Kagawad of


Brgy. ____________, ____________________;

4. Being long-time residents and former and present


officials of Brgy. ____________,_____________________ we personally
knew most of the inhabitants of our barangay;

5. Based on our personal knowledge and familiarity over


the place and its inhabitants, we hereby declare that the following
persons who were able to register as voters of Brgy. ________,
___________________, and who all claimed as residents of Brgy.
______________, are actual residents therein, thus -

Name Address
1. ____________________________ _______________________
2. ____________________________ _______________________
3. ____________________________ _______________________
6. That we are executing this Affidavit freely and voluntarily
and for the purpose of attesting to the truthfulness of the
foregoing facts.

IN WITNESS WHEREOF, I have hereunto set my hand this


____ of October ____, 2018, in the __________________________,
Philippines.

_________________________ ________________________
Affiant Affiant
I.D. No. __________________ I.D. No.
__________________

SUBSCRIBED AND SWORN TO BEFORE ME, this __th day of October, 2018,
in _____________________. Affiants exhibited to me their identification cards, as
shown below their names, bearing their pictures and signatures serving as
competent evidence of their identities.

I HEREBY CERTIFY that I have examined the affiant and I am convinced that
they executed the foregoing affidavit freely and voluntarily, based on their own
personal knowledge and belief.

Doc. No. _________;


Page No. _________;
Book No._________;
Series of 2018.

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