Republic of the Philippines )

Province of Kalinga ) S.S

City of Tabuk )

JOINT AFFIDAVIT

We, _______________________________ and _________________________

both of legal ages, Filipino, and residents of ___________________________ , City of
Tabuk, Kalinga after having been duly sworn according to law, depose and state:

1. That we personally know spouses ________________________________ and

_______________________ they being our longtime friends and neighbors at
____________________________, City of Tabuk, Kalinga;

2. That we likewise know that said spouses begot child/ children namely
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________

3. That we likewise know the birth of the said child/ children because as such
neighbors, we were present at the house during the birth of child/ children to
assist in the household work;

4. That we are executing this affidavit to state the truth of the facts above stated
to the best of our knowledge and recollection and for the purpose of
supporting the spouses request for the late registration of their child/ children
in the Office of the City Civil Registrar, City of Tabuk, Kalinga.

IN WITNESS WHEREOF, we hereunto set our hands this _____ day of -

_________________ 2016 at City of Tabuk, Kalinga.

____________________________ __________________________
Affiant Affiant
 SUBSCRIBED AND SWORN to before me this _____ day of
______________ 2016 at City of Tabuk, Kalinga.

Michelle B. Gayagay
Notary till Dec. 31, 2017
Roll No. 63190
IBP OR 1002707; 12- 15- 15
PTR 6317369; 1-4- 16
Tabuk City, Kalinga Province