REPUBLIC OF THE PHILIPPINES)CITY 

OF BAGUIO ) S.S.

JOINT AFFIDAVIT OF COHABITATION

WE, BRYAN C. MEDINA and DIANA MAE A. DOMINGO

, bothof legal ages, Filipino citizens, single and residents of 006-B, Dahlia
Rd.,San Luis, Baguio City, Philippines, after having been duly sworn to inaccordance with law, depose
and state THAT:

:1.We have been living together as husband and wife without the benefit of marriage under the same
roof, continuously and without any interruption,since 2007 or a period of more than twelve (12) years;

2.During our cohabitation and even until the present, there exists no legalimpediment/s or obstacle/s

between us to marry each other;

3.We are executing this affidavit to attest to the foregoing facts and for
the purposes of contracting marriage without the need of securing a marriagelicense pursuant to the
provisions of Article 34 of the Family Code of thePhilippines.

IN WITNESS WHEREOF, we have hereunto set our hands this 3rd day of April 2019 in
Baguio City, Philippines.

BRYAN C. MEDINA DIANA MAE A. DOMINGO

Affiant Affiant

SSS ID No. 1452-2378604-8 SSS ID No. 5689-0624812-5

SUBCRIBED AND SWORN TObefore me this 3rd day of April2019 in Baguio City, Philippines.

Juan PedroNotary
Public for Metro Manila
 Notarial Commission N.A. -29-NC-18-R
My Commission Expires on December 31, 2019
ROLL NO. 83455 05-08-15; Manila
MCLE COMPLIANCE No. V-088889 7-03-15
PTR NO. 444658; 01-02-18; Metro Manila
IBP O.R. NO. 15555768; 10-26-17; Metro Manila Chapter
Doc No. 69
Page: 1
Book: IV
Series 0f 2019