REPUBLIC OF THE PHILIPPINES )

Municipality / City of ______________ ) S.S.

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

We, NAME 1, Filipino, of legal age, single/married, resident of, insert address;
and NAME 2, Filipino, of legal age, single/married, resident of, insert address; having
been duly sworn to in accordance with law, hereby depose and state:

1. That we both personally know _________________ whose maiden name is

_______________________________________ [if applicable] because we used to live
in the same locality, [place] where ___________________________ was born, for a
long time and her family has been our close family friend.

2. That we also know and we hereby declare that the names appearing in her
___________________ID as __________________ and her given name
__________________________ pertains to one and the same person.

3. That we are not related in any way, either by consanguinity or affinity, to the
said ________________________________;

4. As such, we are executing this Joint Affidavit to attest to the truth of the foregoing
facts and for any other legal purpose that this Affidavit may serve.

IN WITNESS WHEREOF, we have hereunto set our hands

this __________________, at _____________________, Philippines.

Affiant 1 Affiant 2

Signed in the presence of:

SUBSCRIBED AND SWORN to before me this __________________________ at

_________________________ affiants presenting to me their competent evidence of
identity by way of the following:

Affiant 1 ID with No. issued on / valid until

Affiant 2 ID with No. issued on / valid until

Doc. No.: ___________

Page No.:___________
Book No.:___________
Series of 20___