REPUBLIC OF THE PHILIPPINES )

City of Cagayan de Oro ) SS.

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

We, ___________________________________ and ___________________________________ both

of legal age, Filipino citizens, and residents of ____________________________________________,
after being duly sworn to an oath in accordance with law, do hereby depose and
state that:

1. We personally know ______________________________________ being our long time

friend and neighbor;

2. He/she was born on _____________________________;

3. However, in his/her Certificate of Live Birth the entry for ______________________

was indicated/entered as _________________________ when it should have been
___________________________________. A machine copy of his/her Certificate of Live Birth is
herewith attached and made an integral part of this affidavit;

4. We are executing this affidavit in order to attest to the foregoing facts and for
whatever legal purpose it may serve.

IN WITNESS WHEREOF, we have hereunto set our hand this

________________________ in the City of Cagayan de Oro, Philippines.
___________________________________________ ___________________________________________
Valid ID ________________________________ Valid ID ________________________________
 SUBSCRIBED AND SWORN to before me, this __________________________ at
Cagayan de Oro City, Philippines; with the affiants personally appearing before me
and exhibiting to me their respective competent evidence of identities below their
names.

Doc No. ____

Page No. ____
Book No. ____
Series of 2023