Republic of the Philippines ]

Province of Bohol ] S.S.

Municipality of Carmen ]

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

(Re: Late Registration of Birth)

We, AMADA C. DELANTES, married and TRINIDAD L. LAOLAO, widow, both

Filipinos, of legal ages, and residents of Villarcayo, Carmen, Bohol, Philippines, after being
sworn in accordance with law, hereby depose and say:

1. That we both know URBANA MILAGROSA CALAMBA because we are friends thereof;

2. That the facts of birth of URBANA MILAGROSA CALAMBA was not recorded in the
Register of Births of the Office of the Civil Registrar of Carmen, Bohol due to
inadvertence and excusable negligence;

3. That we hereby attest to the fact that URBANA MILAGROSA CALAMBA was born to
on FEBRUARY 5, 1960 at Carmen, Bohol, Philippines;

4. That we are not related to the said persons either by consanguinity or affinity and that
we have no interest in whatever outcome these presents may bring;

5. That we execute this Affidavit voluntarily to support the late registration of the Certificate
of Live Birth of URBANA MILAGROSA CALAMBA in the Register of Births of the Office
of the Civil Registrar of Carmen, Bohol;

6. That affiants further attest to the truth of the foregoing statements for whatever legal
purpose this may serve.

IN WITNESS WHEREOF, we have hereunto set our hands this 7 th day of January, 2021
at Carmen, Bohol, Philippines.

AMADA C. DELANTES TRINIDAD L. LAOLAO

Affiant Affiant
Senior Citizen ID No. 4644 Senior Citizen ID No. 3234

SUBSCRIBED AND SWORN TO before me this 7th day of January, 2021 at Carmen,
Bohol, Philippines.