REPUBLIC OF THE PHILIPPINES)

PROVINCE OF AKLAN )S.S.

MUNICIPALITY OF ALTAVAS )
X-X-X-X-X-X-X-X-X-X-X-X-X-X-X-X-

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSON

We, ____________________________________ and _________________________________, both

of legal age, both married, Filipino Citizens, both residents of ______________________, Altavas, Aklan, and
after having been duly sworn to in accordance with law do hereby depose and state:

That we personally know spouses_______________________________ and __________________

________________ of this barangay;

That during the period of their married life they begot children and one of whom was a boy/girl named
______________________________ who was born on ___________________________ at
________________________, Altavas, Aklan, Philippines;

That __________________________________ is their___________ child;

That ____________________________________ of ___________________, Altavas, Aklan was the

____________________________________ who assisted the delivery of the said child;

That this affidavit is being executed to justify the foregoing statements.

Further, affiants sayeth none.

IN TRUTH OF THE FOREGOING. We hereunto affixed our signatures this _______ day of
___________________ 2019 at Altavas, Aklan, Philippines.

_____________________________ ____________________________
(Affiant) (Affiant)
Identification No. _____________ Identification No. ____________
Issued at _____________________ Issued at ____________________
On __________________________ On _________________________
`

SUBSCRIBED AND SWORN to before me this ______day of __________________ 2019. Affiants

exhibited their respective Community Tax Certificates Number below their signatures.

DENNY D. REFOL
Municipal Mayor
REPUBLIC OF THE PHILIPPINES)
PROVINCE OF AKLAN )S.S.
MUNICIPALITY OF ALTAVAS )
X-X-X-X-X-X-X-X-X-X-X-X-X-X-X-X-

JOINT AFFIDAVIT OF TWO DIS-INTERESTED PERSON

We, ____________________________________ and _________________________________, both

of legal age, both married, Filipino Citizens, both residents of ______________________, Altavas, Aklan, and
after having been duly sworn to in accordance with law do hereby depose and state:

That we personally know spouses________________________________ and __________________

_________________________________of this barangay;

That during the period of their married life they begot children and one of whom was a boy/girl named
______________________________ who was born on ___________________________ at
________________________, Altavas, Aklan, Philippines;

That __________________________________ is their___________ child;

That ____________________________________ of ___________________, Altavas, Aklan was the

____________________________________ who assisted the delivery of the said child;

That this affidavit is being executed to justify the foregoing statements.

Further, affiants sayeth none.

IN TRUTH OF THE FOREGOING. We hereunto affixed our signatures this _______ day of
___________________ 2019 at Altavas, Aklan, Philippines.

_____________________________ ____________________________
(Affiant) (Affiant)
CTC No. _____________ CTC No. ____________
Issued at _____________________ Issued at ____________________
On __________________________ On _________________________
`

SUBSCRIBED AND SWORN to before me this ______day of __________________ 2019. Affiants

exhibited their respective Community Tax Certificates Number below their signatures.

DENNY D. REFOL
Municipal Mayor