REPUBLIC OF THE PHILIPPINES   )
PROVINCE OF ________   )
CITY OR MUNICIPALITY OF ________   ) S.S.

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS
(Discrepancy / Reconciliation of Name)

WE, the undersigned affiants, namely:

1. ________, Filipino, of legal age, ________, and a resident of ________; AND

2. ________, Filipino, of legal age, ________, and a resident of ________;

after having been duly sworn to in accordance with law, do hereby depose and state:

§ 1. That we are both disinterested persons, having no relation by consanguinity or affinity to, and no pecuniary or other interest adverse to, the person hereinafter named, and that we execute this Affidavit freely and voluntarily and solely to attest to the truth of the matters herein stated.

§ 2. That we have known "________" for a considerable period of time, being ________ of the said person, and we are therefore in a position to competently testify on the facts herein set forth.

§ 3. That "________" is personally known to us under and by the said name, and the said person presently uses the same name in his/her personal and official records, documents and transactions, as shown by the following document/s (true copies of which are attached hereto and made integral parts hereof):

________ No. ________

§ 4. That the name of the said person was, however, recorded differently or erroneously as "________" in the following document/s (true copies of which are likewise attached hereto and made integral parts hereof):

________ registered with the Office of the Local Civil Registrar of ________

§ 5. That, of our own personal knowledge, both the names "________" and "________" refer to one and the same person, and that the discrepancy or variance in the said names arose purely from an inadvertent and honest clerical or typographical error, without any fraudulent or unlawful intent whatsoever.

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§ 7. That we are aware that any false statement made herein shall subject us to criminal liability for perjury and other applicable penalties under the Revised Penal Code and other pertinent laws.

AFFIANTS FURTHER SAYETH NAUGHT.

IN WITNESS WHEREOF, we have hereunto set our hands this ________ day of ________, at ________, Philippines.

________
Affiant

________
Affiant

ACKNOWLEDGMENT / JURAT

SUBSCRIBED AND SWORN TO before me this ________ day of ________, 20________, at ________, Philippines, the affiants having personally appeared before me and being identified by me through competent evidence of identity as defined under the 2004 Rules on Notarial Practice, as follows:

Affiant ________, who exhibited to me ________ No. ________, valid until ________; AND

Affiant ________, who exhibited to me ________ No. ________, valid until ________.

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________
NOTARY PUBLIC

Doc. No.: ________;
Page No.: ________;
Book No.: ________;
Series of ________.