REPUBLIC OF THE PHILIPPINES )

___________________ ) S.S.

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

We, ___________________________ and ___________________________, both of legal age,

Filipino citizens, and residents of ___________________________, respectively, having duly
sworn in accordance with law, hereby depose and state:

1. That we personally know ______________________, who was born on

________________ in ________________________;

2. That we know for a fact that the person by:

a. the name _______________________________ as appearing in her

__________________________ issued by ____________________________; and
a. the name _______________________________ as appearing in her
__________________________ issued by ____________________________;

refer to one and the same name person, _____________________________;

3. That we are not in any way related to any of the foregoing person within the fourth
civil degree either by consanguinity or affinity, nor do we have any pecuniary
interest in this matter whatsoever;

4. That to remove confusion as to the two (2) names, we hereby declare that the names
_______________________ and _______________________ refer to one and the same
person _________________________________________;

5. That it is our understanding that the discrepancy arose in her name was purely
unintentional and due to inadvertence at the time of the registration of her name with
the _________________________________________, and that the same was not made to
avoid any violation of law or rule;

6. That we are executing this affidavit to attest to the truthfulness of the foregoing
statements and to establish the real identity of _______________________________
and to ____________________________ and for all legal intents and purposes it may
serve.

IN WITNESS WHEREOF, we have set our hands this ______ day of

____________________ 2018, in ______________________________________.

_____________________________ _____________________________
Affiant Affiant
Valid ID: ________________________ Valid ID: ________________________
Issued on _________ at ____________ Issued on _________ at ____________

SUBSCRIBED AND SWORN to before me this _____ day of ________________ 2018 in

__________________________, affiants exhibited to me their IDs indicated below their respective
names and signatures.

NOTARY PUBLIC
Doc No. _______
Page No. ______
Book No. ______
Series of 2018