Republic of the Philippines )
Iloilo City                  )S.S.
X----------------------------------------------X
                         Joint affidavit of Cohabitation
    We, _________________________ of legal age, Filipino citizen and a resident
of Barangay Calao, Dumangas, Iloilo and _________________________ of legal
age, Filipino citizen and a resident of _______________________, after having
been sworn to in accordance with law, here depose and state that:
    1. We have been living together as husband and wife under the same roof,
        continously and without any interruption, since Date when cohabitation
        began or a period of more than five (5) years;
    2. During our cohabitation and even until the present, we remain both of
        single status and hence, there exists no legal impediment for us to marry
        each other:
    3. We are blessed with Number of children if they have children namely:
        Name of Child:       Date of birth:       Place of birth:
         Child no. 1           January 1, 2008     Iloilo City
         Child no. 2           December 25, 2011   Dumangas, Iloilo
    4. We are executing this affidavit to attest to the foregoing facts and for the
        purpose of contracting marriage without the need of securing marriage
        license pursuant to the provisions of Article 34 of the Family Code of the
        Philippines.
         IN WITNESS WHEREOF, we hereunto set our hands this ______________
    in Iloilo City, Philippines.
      _____________________                _____________________
             Affiant # 1                  Affiant # 2
      _____________________                _____________________
                     Signed in the presence of:
      _____________________        _____________________
    SUBSCRIBED and SWORN to before me this _______________, in the
city of Iloilo , with the Affiants exhibiting to me their competent proof of
identity as shown above and acknowledge to me that this is their free and
voluntary act.
    Doc. No. _____;
    Page No._____;
    Book No. ____;
    Series of 2023.