REPUBLIC OF THE PHILIPPINES)

CITY/MUN. OF ____________ ) S.S.

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

JOINT AFFIDAVIT OF COHABITATION

          WE, ___________________ and _________________, both of

legal age, Filipino, single (living together) and residents of
_______________________________, after having been duly sworn to in
accordance with law, depose and state THAT:

1. We have been living together as husband and wife under the same roof,

continuously and without any interruption, since _________ or a period of more
than five (5) years;

2. During our cohabitation and even until the present, we remain both of single

status and, hence, there exists no legal impediment for us to marry each other;

3. We were blessed with one son named ___________________ who was born

on _________________ in _____________________;

4. We are executing this affidavit to attest to the foregoing facts and for the
purposes of contracting marriage without the need of securing the
marriage license pursuant to the provisions of Article 34 of the Family Code of
the Philippines. 

IN WITNESS WHEREOF, we have hereunto set our hands

this ___________________ in _______________, Philippines.

  

__________________
Affiant ____________________
SSS ID No. _____________ Affiant
GSIS ID No. _____________

        SUBCRIBED AND SWORN TO before me

this ___________________ in _________________, Philippines, affiants
exhibiting to me their valid proofs of identification.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2013.