fpc015 joint affidavit of two disinterested - Pag

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FPC015
JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS
WE, ______________________, of legal age, single/married/widow/er and
presently residing at ______________________, and ________________________, of
legal
age,
single/married/widow/er
and
presently
residing
at
_______________________, both after being duly sworn to in accordance with law,
depose and say:
1. That
we
personally
know
______________________
of
________________________________, being acquaintance for a
long period of time;
2. That he/she is a Pag-IBIG Fund member with an application for
Provident Benefits with the Fund;
3. That the said application is required to be accompanied by a copy of
the applicant’s birth certificate, however, no record can be obtained,
as shown by the attached Certification of Non-Availability of Birth
Record from the National Statistics Office (NSO);
4. That we certify that he/she was born at ___________________,
Province of ___________________, Philippines, on the ____ day of
the ________ 20__ ;
5. That he/she has been using the said birth date in all his/her
documents and transactions;
6. That we are not related by affinity or consanguinity to the above
mentioned person; and
7. That we are executing this affidavit to attest to the truth of the
foregoing facts for record and references purposes.
IN WITNESS WHEREOF, WE have hereunto set our hands this ____ day of
___________, 20__ at ________________________________.
Affiant
Affiant
SUBCRIBED AND SWORN to before me, this _____ day of __________, at
______________________, affiant exhibiting to me his/her CTC No. _____________,
issued on __________________ at _________________________.
NOTARY PUBLIC
Doc. No. __________;
Page No.__________;
Book No.__________:
Series of __________.
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