REPUBLIC OF THE _________)

PROVINCE OF _____________) S.S.

Municipality of _____________)
x------------x

JOINT AFFIDAVIT
We, _________________, _________________, _______________________, and
________________, all of legal age, (citizenship) citizens, and residents of (address,
___________), after having been duly sworn to an oath in accordance with law do hereby
voluntarily depose and say:

1. That we personally know (name of the student) as a student of (name of school).

2. That we personally knew that (name of the student) is now a (year level) in (course).

3. That we know these facts because we are the instructors of his/her subjects for (school
year), (semester).

4. That we are freely and voluntarily execute this affidavit and all the foregoing statements
are true and correct to the best of our own personal knowledge.

IN WITNESS WHEREOF, we have hereunto affixed our signature this

_____________________ at ______________________.

AFFIANTS

(name and signature of instructor) (name and signature of instructor)

______________________ _____________________
(subject) Instructor (subject) Instructor

(name and signature of instructor) (name and signature of instructor)

___________________________ _______________________
(subject) Instructor (subject) Instructor

SUBSCRIBED AND SWORN to before me this _____day of ______, (year), in

(address).

Doc. No.:________ Notary Public

Page No.:________
Book No.:_______
Series of ________