REPUBLIC OF THE PHILIPPINES)

)S.S.

JOINT AFFIDAVIT OF CONTINUOUS COHABITATION

WE, NAME OF HUSBAND and NAME OF WIFE, both of legal ages, HUSBAND'S NATIONALITY
and WIFE'S NATIONALITY nationals and residents of ADDRESS IN THE PH, 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, ever since our marriage on DATE OF MARRIAGE at PLACE
OF MARRIAGE and up to the present;

2. During our cohabitation and even until the present, there exists no legal
impediment or obstacle between us to marry each other;

3. We were blessed with NUMBER child/children who was/were born on BIRTHDATE/S OF

CHILD/REN in PLACE OF BIRTH;

4. We are executing this Affidavit to attest to the truth of the foregoing and for any legal
purposes this may serve.

IN WITNESS WHEREOF, we signed these presents this day of __________________ at

___________________.

AFFIANTS:

HUSBAND'S NAME WIFE'S NAME

Passport No. Number Passport No. Number
Issued on Date Issued on Date
Issued at Place of Issuance Issued at Place of Issuance

SUBSCRIBED AND SWORN, to before me in ___________________ this day of

____________________, by the above persons, who have satisfactorily proven to me their identity
through their Passport No./ID which indicated below their names, that they are the same persons
who personally signed before me the foregoing Joint Affidavit of Continuous Cohabitation and
acknowledged that they executed the same.

Doc. No. ______

Page No.______
Book No.______
Series of 2017.