REPUBLIC OF THE PHILIPPINES)

CITY/MUN. OF ____________ ) S.S.

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

JOINT AFFIDAVIT OF COHABITATION

WE, ___________________ and _________________, both of legal age, Filipino, single
(living together) and residents of _______________________________, after having been duly
sworn to in accordance with law, depose and state THAT:
1. We have been living together as husband and wife under the same roof, continuously and without any
interruption, since _________ 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

were

blessed

with

one

son

named ___________________ who

was

born

on

_________________ in _____________________;
4. We are executing this affidavit to attest to the foregoing facts and for the purposes of contracting
marriage without the need of securing the marriage license pursuant to the provisions of Article 34 of
the Family Code of the Philippines.
IN WITNESS WHEREOF, we have hereunto set our hands this ___________________in
_______________, Philippines.

__________________

____________________

Affiant

Affiant

SSS ID No. _____________

GSIS ID No. _____________

SUBCRIBED

AND

SWORN

TO before

me

this ___________________ in

_________________, Philippines, affiants exhibiting to me their valid proofs of identification.

Doc. No. _____;

Page No. _____;
Book No. _____;