Republic of the Philippines )

Province of ________________ ) SS.

City/Municipality of _______ )

x- - - - - - - - - - - - - - - - - - - - - x

AFFIDAVIT OF IDENTITY

I, ______________________________, of legal age, Filipino, single/married/widow/widower and residing at ______________________________, after having been duly sworn to in accordance with law hereby depose and state THAT:

1. (insert name/type of identification card) I.D. with number ___________________ issued on ____________________ at _________________________________ indicating the name of __________________________________________; and

2. (insert name/type of identification card) I.D. with number __________________ issued on ____________________ at _________________________________ indicating the name of ________________________________________ indicates both one and the same person;

3. I am executing this Affidavit to attest to the truth and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of ___________ 20____ in ____________, _____________, Philippines.

___________________________________

Affiant

SUBSCRIBED AND SWORN to before me, this ____ day of __________ 20____, in the City of __________________, by ___________________ with Passport No.________________ issued on __________________ at _____________.

Notary Public

Doc. No. ______;

Page No. ______;

Book No. ______;

Series of ______;