REPUBLIC OF THE PHILIPPINES )

CITY OF DASMARIÑAS ) S.S

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AFFIDAVIT OF COHABITATION

We, ROBERT MATEO MENDOZA and CARISSA ROSAL

OAÑA, both of legal age, Filipino citizens, single (living together),
and residence of Blk 6 Lot 30 South Dasma Garden Villas Salawag,
City of Dasmariñas, Cavite, respectively, after having been sworn in
accordance with law, hereby depose and state THAT:
1. We have been living together as husband and wife under the
same roof, continuously and without any interruption, since
2015 or a period of more than seven (7) years;
2. During our cohabitation and even until 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 two children, to wit: NATHAN ROBERT
O. MENDOZA who was born on 14 September 2015 and GAVE
NORBERT O. MENDOZA, who was born on 3 February 2017;
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.

AFFIANT FURTHER SAYETH NAUGTH.

IN WITNESS WHEREOF, I have hereunto set my hand on this

affidavit this 28th day of April 2022, at City of Dasmariñas, Cavite,
Philippines.
_____________________________ ________________________
ROBERT MATEO MENDOZA CARISSA ROSAL OAÑA
Affiant Affiant
UMID ID No. CRN-0111-7030735-7 PHILHEALTH ID No. 085-
250316317-5

SUBSCRIBED AND SWORN TO this 28 th day of April 2022, at

City of Dasmariñas, Cavite, Philippines, affiant exhibiting to me her
valid proof of identification.

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Series of 2022. NOTARY PUBLIC