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Affidavit To Use Surname of Father Template

This document is an affidavit for a father acknowledging his child and allowing the child to use his surname on their Certificate of Live Birth. It includes details such as the child's name, birth date, and registration information. The affidavit is executed in compliance with Republic Act No. 9255 and its amendments.

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Dalton Dacal
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24 views1 page

Affidavit To Use Surname of Father Template

This document is an affidavit for a father acknowledging his child and allowing the child to use his surname on their Certificate of Live Birth. It includes details such as the child's name, birth date, and registration information. The affidavit is executed in compliance with Republic Act No. 9255 and its amendments.

Uploaded by

Dalton Dacal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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REPUBLIC OF THE PHILIPPINES )

CITY OF LAPU-LAPU, CEBU………) S.S

AFFIDAVIT TO USE THE SURNAME OF THE FATHER / ACKNOWLEDGEMENT

I ,_______________________, of legal age, Filipino and currently residing at


______________________________, after having been sworn to in accordance with law, hereby depose and say:

1. 1.That I am the biological Father of __________________________.


2. That my child _____________________________ was born on ____________________ at
_____________________, _________________________, Philippines;
3. That the facts of birth of my child were d ly registered at the Office of the Local Civil Registrar of
________________.;
4. That being the father of ______________________________________________, I hereby acknowledge
and recognize, ____________________________ as my child and legal Heir;

5. That I am allowing my child _________________________________________ to use my surname to be


his/her surname in her Certificate of Live Birth; and

6. That I execute this affidavit to attest to the truth and veracity of the above facts in compliance with the
provisions of Republic Act No. 9255 as amended by Republic Act 10625 and its implementing Rules and
Issuances.

IN WITNESS WHEREOF, I have hereunto set my hand this ______________ at __________________, Cebu,
Philippines.

_______________________________
Affiant
ID No. ____________________
Issued at _______________ Date: _________________

SUBSCRIBED AND SWORN to before me, affiant presenting to me his ___________________________


ID No: ________________________

WITNESS MY HAND AND NOTARIAL SEAL on date and place first above-written

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