Two Disinterested Solo Parent Form

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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.

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