REPUBLIC OF THE PHILIPPINES………… )

MUNICIPALITY OF ______________)s.s.

JOINT AFFIDAVIT
(Re: Late Registration of Birth)

We,______________ and ______________, Filipino Citizen, of legal age, and a resident of

______________ after having been duly sworn and oath in accordance with law hereby voluntarily
depose and say:

1. That we personally know ______________, who was born on ______________at

______________ to ______________ and ______________;

2. That due to the negligence and/or inadvertence on the part of his parents and the
prevailing conditions then, his birth was not reported and registered with the Office of
the Municipal Civil Registry of ______________, immediately thereafter;

3. That we have first hand knowledge of the foregoing facts because we together with
our respective families, being their acquaintances and close family friends, were among
those who witnessed his birth and growth;

4. That we are executing this Joint affidavit to attest to the truth of all the foregoing facts,
in connection with the application for the late/delayed registration of birth of the said
______________ with the office of the Municipal Civil Registry of ______________, and
for whatever legal purpose this may serve;

5. Affiants sayeth naught.

IN TRUTH WHEREFORE, we have hereunto set our hands, this ______________ at

______________, Philippines.

______________ ______________
Affiant Affiant
______________ ______________
Issued at:______________ Issued at: ______________
Issued on: ______________ Issued on: ______________
SUBSCRIBED AND SWORN to before me, this ______________ at ______________,
Philippines, affiants exhibiting to me their respective documentary identities indicated below their
respective names and signatures.

Doc No. ______;

Page No. _____;
Book No. _____;
Series of 2018.