Republic of the Philippines)

City of Manila
)

AFFIDAVIT OF ADMISSION OF PATERNITY

I, ___________________ of legal age, US citizen, and with address at
___________________, after having duly sworn to in accordance with law, do hereby,
depose and state as follows:

1. I am the biological father of ___________________;

2.

___________________
___________________;

was

born

on

___________________

at

3.

The biological mother of___________________ is ___________________;

4.

At the time of the birth of ___________________, I was not legally married to his
biological mother ___________________;

5.

The facts of birth of ___________________were registered at the City Civil

Registrar
of
___________________with
Registry
Number
___________________;

6.

I hereby admit under oath my paternity with ___________________ and such

acknowledgment is reflected at the back of ___________________ Certificate of
Live Birth;

7.

I am executing this affidavit to attest to the truth of the foregoing facts and for
whatever legal purpose it may serve.

IN WITNESS WHEREOF, I hereby affix my signature this 21 st day of November,

2016 in the City of Manila.

___________________
Affiant
SUBSCRIBED AND SWORN to before me this 21st day of November, 2016 at
the City of Manila. Affiant exhibited to me his Passport No. __________ issued at
____________ on _______________, as competent proof of his identity.

Doc No._____;
Page No.____;
Book No.____;
Series of 2016.

Republic of the Philippines)

City of Manila

AFFIDAVIT OF ADMISSION OF PATERNITY

I, _________________, of legal age, U.S. citizen, and with address at
_____________________________, after having duly sworn to in accordance with law,
do hereby, depose and state as follows:
1. I am the biological father of __________________;
2.

_______________ was born on _______________ at __________________;

3.

The biological mother of __________ is _____________________;

4.

At the time of the birth of ____________________, I was not legally married to

his biological mother _____________;

5.

The facts of birth of _____________ were registered at the Local Civil Registrar
of ________________ City with Registry Number ____________ ;

6.

I hereby acknowledged my paternity with ________________ and such

acknowledgment is reflected at the back of ______________s Certificate of Live
Birth;

7.

I am executing this affidavit to attest to the truth of the foregoing facts and for
whatever legal purpose it may serve.

IN WITNESS WHEREOF, I hereby affix my signature this 21 st day of November,

2016 in the City of Manila.

____________________
Affiant
SUBSCRIBED AND SWORN to before me this 21st day of November, 2016 at
the City of Manila. Affiant exhibited to me his Passport No. __________ issued at
____________ on _______________, as competent proof of his identity.

Doc No._____;
Page No.____;
Book No.____;
Series of 2016.