AffidavitsAct No. 3753 (Civil Registry Law); RA 9048 as amended by RA 10172; 2004 Rules on Notarial Practice.
Affidavit of Two Disinterested Persons
Joint sworn declaration by two unbiased third persons attesting to someone's true date of birth, identity, or parental lineage.
Replace bracketed text [LIKE THIS] with your actual information
REPUBLIC OF THE PHILIPPINES)
CITY/MUNICIPALITY OF ________ ) S.S.
JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS
(REGARDING BIRTH AND TRUE IDENTITY)
WE, [NAME OF FIRST AFFIANT], of legal age, Filipino, and residing at [ADDRESS OF FIRST AFFIANT], and [NAME OF SECOND AFFIANT], of legal age, Filipino, and residing at [ADDRESS OF SECOND AFFIANT], after having been duly sworn to in accordance with law, jointly depose and state that:
1. We are long-time residents of [BARANGAY / MUNICIPALITY] and have known the person of [TRUE AND CORRECT FULL NAME OF SUBJECT] for more than [NUMBER OF YEARS KNOWN, e.g. twenty (20)] years, having been their neighbors/family acquaintances since their birth/childhood;
2. We personally know that the said [NAME OF SUBJECT] was born on [TRUE DATE OF BIRTH, e.g. October 15, 1995] at [PLACE OF BIRTH: HOSPITAL/BARANGAY, MUNICIPALITY, PROVINCE], to their lawful parents [FULL NAME OF FATHER] and [FULL MAIDEN NAME OF MOTHER];
3. In some records or documents of the said [NAME OF SUBJECT], particularly in [SPECIFY DOCUMENT WITH DISCREPANCY, e.g. School Records / Baptismal Certificate], their [NAME / DATE OF BIRTH] was erroneously written or recorded as "[STATE WRONG RECORDING, e.g. Jonathon instead of Jonathan / October 16 instead of October 15]";
4. We hereby confirm and attest that "[WRONG NAME/DATE]" and "[TRUE NAME/DATE]" refer to one and the same person, who is our long-time acquaintance, [TRUE FULL NAME];
5. We are executing this Joint Affidavit to attest to the truth of the foregoing facts, to establish the true date of birth and identity of [NAME OF SUBJECT], for the purpose of [STATE PURPOSE, e.g. Late Registration of Birth / Correction of Clerical Error under RA 9048/10172 / PSA Record Correction], and for all legal intents;
6. We further declare that we are disinterested persons with no blood relationship within the fourth civil degree of consanguinity or affinity to the said [NAME OF SUBJECT], nor do we have any pecuniary interest or bias in the outcome of this matter.
IN WITNESS WHEREOF, we have hereunto set our hands this _____ day of _______________, 20___, in the City/Municipality of ________________________, Philippines.
________________________________________ ________________________________________
[NAME OF FIRST AFFIANT] [NAME OF SECOND AFFIANT]
Affiant Affiant
SUBSCRIBED AND SWORN to before me this _____ day of _______________, 20___, in the City/Municipality of ________________________, Philippines, affiants exhibiting to me their Competent Evidence of Identity:
1. [FIRST AFFIANT]: [ID TYPE] No. ________________________, valid until ________________________;
2. [SECOND AFFIANT]: [ID TYPE] No. ________________________, valid until ________________________.
Doc. No. _______;
Page No. _______;
Book No. _______;
Series of 20___.