Birth
REPUBLIC OF THE PHILIPPINES)
CITY OF _______________) S.S.
AFFIDAVIT OF BIRTH
I, _______________________________________, of legal age, Filipino, ____________, and presently residing at ________________ _________________________________________________, after having been duly sworn to in accordance with law, depose and state:
I was born on ___________ ____, ______, in _______________, to spouses ________________________ and ________________________;
This is supported by numerous authentic documents attached in this affidavit; and I hereby certify that the foregoing statements are correct.
I therefore have executed this Affidavit to attest the truth I mentioned herein and for whatever legal purposes it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this _____ day of __________ 20____ in ____________, __________, Philippines.
_______________________________________
Affiant
Philippine Passport No. ___________
valid until ____________ ____, 20____
SUBSCRIBED AND SWORN TO before me this ____ day of ___________ 20____ in _____________, _________, Philippines, affiant exhibiting to me her competent evidence of identity indicated below his above- stated name.
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 20____.