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Republic of the Philippines)

Province of _________ )  s.s.


_______________________ )

AFFIDAVIT OF CONSENT TO ADOPTION


I, xxxx , of legal age, Filipino, married and a resident of xxxxx, after having been
duly sworn to in accordance with law, hereby deposes and states THAT:

1. I am the biological mother of the minor xxxxxx who was born on xxxxxxx;

2. I am not married with the biological father of my child;

3. Since my son was born up to present, my brother, xxxxxxx has been actively
taking care of my son and provides for his needs;

4. I am aware of the desire of my brother to legally adopt my son;

5. I am hereby giving my full consent and approval of the legal adoption of my


son by my brother, xxxxxxx;

6. I am fully aware of the legal consequences of the said adoption which will
redound to the best interest of my minor child;

7. As such, I am executing this Affidavit to attest to the truth of the foregoing


and to specifically declare and express my consent to the legal adoption of
my son, xxxxxxx xxxxxx by my brother xxxxxxx.

 IN WITNESS WHEREOF, I have hereunto set my hand


this __________________ in Cabanatuan City, Nueva Ecija, Philippines.

xxxxxxxxxxx
Affiant
Passport No. ________________________
Valid Until: __________________________

SUBSCRIBED AND SWORN to before me, this ________________ at Cabanatuan


City, Nueva Ecija. The affiant has exhibited to me her competent evidence of identity as
provided under Supreme Court A.M. No. 02-8-13-SC.

Doc. No. _____


Page No. _____
Book No. _____
Series of 2020.