REPUBLIC OF THE PHILIPPINES

City of Cebu

AFFIDAVIT OF KNOLEDGE OF RELATIONSHIP

I, (name of the any relative who knows your relationship ex, Carlo Martin Fernandez) of
legal age, single, Filipino citizen, after having been duly sworn in accordance with the law,
hereby depose and state that:

1. I can attest that Mr. Anthony Jake Herrera Tan and Ms. Esperanza Borja Fernandez; my
sister having been in a relationship as they have informed me personally about their status
after they met at work last 20__;

2. I acknowledge when they decided to live together starting (mm/yyyy) up to the present and
residing at (current address) MANDAUE CITY 6014 CEBU PHILIPPINES as they have the
same line of work, it would be reassuring that they completely understand each other’s
needs.

3. I attest that they have a strong and loving relationship as Mr. Anthony is often and likely to
be present in family events and gatherings even after those times when my grandmother
died. He was always there giving support and care for her.

4. I am executing this affidavit to attest and confirm to the foregoing facts, and for whatever
legal purpose this may serve best.

IN WITNESS THEREOF, I have hereunto set my hand this _______________________, in

Cebu City, Cebu Philippines

Name of the relative

Affiant

BIR no: 00000000

Issued on: mm/dd/yyyy
Issued at: BIR Cebu

SUBSCRIBED AND SWORN TO before me this _______________________, in Cebu

City, Cebu, Philippines, affiant exhibiting to me her BIR as per data indicated above.