Republic of the Philippines)

_____________________) s.s.
x--------------------------------x

AFFIDAVIT
OF TWO (2) DISINTERESTED PERSONS
We, ____________________________, of legal age, Filipino, and a resident of
____________________, ______________, Philippines and
_________________________, likewise of legal age, Filipino and residing at
____________________________, _________________, Philippines, after having been
duly sworn to in accordance with law do hereby depose and say that:

1. We both know the person of ____________________ who is presently residing at

___________________, _______________, Philippines;

2. We know the said person from _____1 considering that the latter is2
__________________________________________________________________
____________________________________________________________.

3. In said person’s school records at ________________________3 the latter’s

_________________4 was indicated as ________________5, while in his
_____________________6, the same appears to be_______________________7

4. The person of ___________________ with such discrepancy in the latter’s records

are one and the same.

5. We are executing this affidavit to attest to the truthfulness and veracity of the
foregoing statements and to inform the respective proper authorities concerned
and for whatever legal purpose/s this affidavit may serve.

IN WITNESS WHEREOF, we hereunto set our hands this ________________ at

_____________, Philippines;

____________________ ____________________
Affiant Affiant
ID_____________ ID_____________
Issued at_________ Issued at_________
Issued on__________ Issued on__________

SUBSCRIBED AND SWORN to before me this ______ day of ______ 20___ at

_________________ City, Philippines, affiants exhibited to me their competent proof of
identity as above shown, further affirming that the foregoing are of their free act and
deed.

Doc. No. _____

Page No.: ____
Book No.: ____
Series of : ____

1 Since when did you know of the person?

2 Why do you know him?
3
Name of school
4 Data as name, birthdate, birthplace, etc
5 Erroneous data
6 Proof, as birth certificate, etc.
7 Correct Data

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