REPUBLIC OF THE PHILIPPINES)

Province of ____________________) S.S.

City/Municipality of _____________)
x-----------------------x

JOINT AFFIDAVIT

We, _____________ and _____________, both Filipinos, of legal ages, and residents of
_____________ and _____________, respectively, having been duly sworn in accordance with law,
hereby depose and state:
1. That we have personally known the person of MARIA CLARA for a long period of time
having been her long time friend;
2. That we know for a fact that the person by the name of "MARIA CLARA" appearing in some
documents and records or specifically in her Certificate of Live Birth and the name " MARA
CLARA" as appearing in the records of Social Security Systems (SSS), refer to one and the
same person and that her true and correct name is MARIA CLARA;
3. As such, we execute this Affidavit to certify or attest to the truth of the foregoing facts and
for whatever legal purpose that this Affidavit may serve.

IN WITNESS WHEREOF, we have set our hands this _____________, at _____________,

Philippines.

AFFIANT AFFIANT

REPUBLIC OF THE PHILIPPINES)

CITY/MUNICIPALITY OF ______) SS.
x-----------------------------------------x

ACKNOWLEDGMENT

BEFORE ME, a Notary Public for and in the (Province/City/Municipality) of _____________,

personally appeared _____________ with Community Tax Certificate No. _____________ issued on
_____________ at _____________, and _____________ with Community Tax Certificate No.
_____________ issued on _____________ at _____________, both personally known to me (or whom I
have identified through competent evidence of identity) and who represented to me that their respective
signatures on the foregoing instrument were voluntarily affixed by them for the purposes stated in the
instrument and who declared that they have executed the foregoing instrument as their free and voluntary
act and deed.

WITNESS MY HAND AND SEAL this _____________ at _____________, Philippines.

NOTARY PUBLIC

Doc. No. ______;

Page No. ______;
Book No.______;
Series of 20____.