REPUBLIC OF THE PHILIPPINES)
CITY OF BAGUIO…………..)SS
AFFIDAVIT OF TWO DISINTERESTED PERSONS
We, ______________________________ and _________________________ both of legal age,
Filipino, and residents of _____________________________________________ and
______________________________________, respectively, after having been sworn to in
accordance with law, do hereby states:
1. That we personally know __________________________, a resident of
______________________, Baguio City for he/she is our longtime
friend/acquaintance;
2. That he/she has __________ child/ children, who live/s under his/her care and
guidance;
3. That he/she supported their needs and studies as a solo parent since her
husband/wife separated/passed away/abandoned them, and never cohabited with
any other man/woman up to the present;
4. That we are not in any way related to _________________________;
5. That we are executing this instrument to the veracity of the foregoing and for the
application of his/her solo parent identification card and for all legal intents and
purposes it may serve.
IN WITNESS WHEREOF, I have hereunto set our hands this ___________ in the City
of Baguio, Philippines.
___________________________________ ________________________________
Affiant Affiant
ID: ___________________________ ID: _____________________________
SUBSCRIBED AND SWORN to before me this ________________ in the City of
Baguio, Philippines. Affiants exhibited to me their valid competent proof of identity as indicated
below their typewritten name.