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REPUBLIC OF THE PHILIPPINES)

CITY/MUN. OF ____________ ) S.S.


x------------------------------------x

JOINT AFFIDAVIT OF COHABITATION

WE, ___________________ and _________________, both of legal age, Filipino, single (living
together) and residents of _______________________________, after having been duly sworn to in
accordance with law, depose and state THAT:

1. We have been living together as husband and wife under the same roof, continuously and
without any interruption, since _________ or a period of more than five (5) years;

2. During our cohabitation and even until the 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 one son named ___________________ who was born on
_________________ in _____________________;

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.

IN WITNESS WHEREOF, we have hereunto set our hands this___________________ in


_______________, Philippines.

__________________ ____________________
Affiant Affiant
SSS ID No. _____________ GSIS ID No. _____________

SUBCRIBED AND SWORN TO before me this ___________________ in


_________________, Philippines, affiants exhibiting to me their valid proofs of identification.

NAME OF NOTARY PUBLIC


Notary Public for the Province/City of __________
Address
Appointment No. ______ until December, _____
Roll of Attorney No. _______
PTR No. _________;
IBP No. _________;
Series No. of Commission ______
Doc. No. _____
Page No._____
Book No._____
Series of 20___
REPUBLIC OF THE PHILIPPINES)
CITY OF MAKATI ) S.S.
x-------------------------------------x

JOINT AFFIDAVIT OF IDENTITY

WE, JOSE F. SANTOS and MARIA B. DELA CRUZ, both of legal age, Filipino citizens, and residents
of 4444 Washington Street, Pio del Pilar, Makati City, after having been duly sworn to in accordance with
law, depose and state:

1. That we personally know one ARLENE M. DE MESA born on October 3, 1980 in Davao City;

2. That since her childhood, she has been using the name ARLENE M. DE MESA, which appeared
in her pertinent records and school records;

3. That when she secured a copy of her birth certificate, she noticed that her name is written as
ARLYN M. DE MESA;

4. That the names ARLENE M. DE MESA and ARLYN M. DE MESA refer to one and the same
person;

5. That we are executing this Affidavit to attest and declare the truth of the foregoing facts and
for whatever legal purposes that this Affidavit may serve.

IN WITNESS WHEREOF, we have hereunto set our hands this 26th day of September 2013 in
Makati City, Metro Manila, Philippines.

JOSE F. SANTOS MARIA B. DELACRUZ

Affiant Affiant

SUBSCRIBED AND SWORN TO before me this 1st day of August 2013 in Makati City,
affiants exhibited to me their SSS Identification Card Nos. 1234 and 4567 issued on March 6, 2012 and
April 8, 2012, respectively, in Makati City, Metro Manila.

NAME OF NOTARY PUBLIC


Notary Public for the Province/City of __________
Address
Appointment No. ______ until December, _____
Roll of Attorney No. _______
PTR No. _________;
IBP No. _________;
Series No. of Commission ______
Doc. No. _____
Page No._____
Book No._____
Series of 20___
Republic of the Philippines )
Province of Bulacan )
Municipality of Meycauayan) s.s.

JOINT AFFIDAVIT OF
TWO DISINTERESTED PERSONS

We, LEONILO M. GO and MICHAEL S. SY, both Filipinos, of legal ages, married and residents of St.
Francis Village, Malhacan, Meycauayan, Philippines, having been duly sworn in accordance with law,
hereby depose and state:

1. That we both personally know the person of GLORIA R. LABANDERA since her childhood
because formerly, we had lived in the same locality for a long time, and her family has been a
close family friend;

2. That we also know and we hereby declare that the said GLORIA R. LABANDERA was born on
May 24, 1980 at Meycauayan, Bulacan, Philippines to PERLA R. LABANDERA and ARIEL
LABANDERA;

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

As such, we execute 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 1st day of August 2013, at
Meycauayan, Bulacan, Philippines.

LEONILO M. GO MICHAEL S. SY
Affiant Affiant

SUBSCRIBED AND SWORN TO before me this 1st day of August 2013 in Meycauayan, Bulacan,
affiants exhibited to me their SSS Identification Card Nos. 1234 and 4567 issued on March 6, 2012 and
April 8, 2012, respectively, in Makati City, Metro Manila.

NAME OF NOTARY PUBLIC


Notary Public for the Province/City of __________
Address
Appointment No. ______ until December, _____
Roll of Attorney No. _______
PTR No. _________;
IBP No. _________;
Series No. of Commission ______

Doc. No. _____


Page No._____
Book No._____
Series of 20___
Republic of the Philippines )
Province of Bulacan )
Municipality of Meycauayan) s.s.

JOINT AFFIDAVIT OF LEGITIMATION

WE, ______________ and ______________, both of legal age, Filipinos, husband and wife,
respectively, and presently residing at _______________________ after having been duly sworn to in
accordance with law, depose and state:

1. That we are the biological parents of _______________ who was born on ____________ in
_____________ as evidenced by the attached copy of the childs Birth Certificate, made an
integral part hereof as Annex A;

2. That at the time of his/her birth, we, the biological parents were not yet married, hence
his/her status in the original birth certificate was entered as Illegitimate.

3. That at the time of the conception of our child, there was no legal impediment for us to
contract marriage;

4. That we contracted marriage on _____________ in ______________ which marriage was


solemnized by _________________________, as evidenced by the attached
Marriage Contract, made an integral part hereof as Annex B;

5. That by virtue of our subsequent marriage, the said child is now legitimated by operation of
law, particularly Article 177 of the Family Code of the Philippines;

6. Hence, we are executing this Affidavit to attest to the foregoing facts, for purposes of
complying with the requirements in applying for the legitimation by subsequent marriage of our
son/daughter, _____________________ and for the proper recording of such legitimation in
his/her civil registry documents and Philippine passport, to enable him/her to bear the surname
of his/her father and be entitled to all the rights of a legitimated child, and for all legal intents
and purposes.

IN WITNESS WHEREOF, we have hereunto set our hands this ___________________ in


_______________, Philippines.

__________________ ____________________
Affiant (father) Affiant (mother)
Philippine Passport No. _____ Philippine Passport No. _____
Issued at: ________________ Issued at: ________________
Issued on: ________________ Issued on: _______________
SUBCRIBED AND SWORN TO before me this ___________________ in
_________________, Philippines, affiants exhibiting to me their valid proofs of identification.

NAME OF NOTARY PUBLIC


Notary Public for the Province/City of __________
Address
Appointment No. ______ until December, _____
Roll of Attorney No. _______
PTR No. _________;
IBP No. _________;
Series No. of Commission ______

Doc. No. _____


Page No._____
Book No._____
Series of 20___
REPUBLIC OF THE PHILIPPINES)
CITY OF MAKATI ) S.S.
x----------------------------x

AFFIDAVIT OF SURVIVING SPOUSE

I, __________________, of legal age, Filipino, (widow/widower), with address at


_______________________________, and the following contact number ___________________ after
having been duly sworn to in accordance with law, depose and state THAT:

1. I am a widow / widower of _____________________________ who was a GSIS member /


retiree who died on _______________ at _______________________;

2. I hereby declare that, since the death of my spouse, I have not remarried, cohabited
with another person, or otherwise engaged in a common-law relationship. I acknowledge that, if
granted, my entitlement to survivorship benefit from the GSIS will automatically and
permanently terminate the moment that I re-marry, co-habit with any person/engage in a
common-law relationship, whether of the same or opposite sex, or, whether or not such a
relationship is still subsisting. I hereby agree unconditionally to reimburse/return to the GSIS,
without need of demand or judicial action, all survivorship benefits I may still unduly receive
after my entitlement thereto is terminated as stated above.

3. Pursuant to and consistent with the declarations I made above, I hereby authorize the GSIS to
secure information regarding my civil status from the National Statistics Office (NSO) or other
relevant government offices or even private entities.

4. I am executing this affidavit to attest to the truth of the foregoing statements in support
of my application for survivorship benefit with the GSIS under Republic Act No. 8291 and for
other legal purposes it may serve. I fully understand that any inaccurate and untruthful
statement in this affidavit shall render me criminally and civilly liable.

IN WITNESS WHEREOF, I have hereunto set my hand this ___________________ in Makati City,
Metro Manila, Philippines.

____________________
Affiant

SUBCRIBED AND SWORN TO before me this ___________________ in


_________________, Philippines, affiant exhibiting to me his/her _____________________ as
Competent Evidence of Identity (CEI).

NAME OF NOTARY PUBLIC


Notary Public for the Province/City of __________
Address
Appointment No. ______ until December, _____
Roll of Attorney No. _______
PTR No. _________;
IBP No. _________;
Series No. of Commission ______

Doc. No. _____


Page No._____
Book No._____
Series of 20___