No Knowledge
REPUBLIC OF THE PHILIPPINES)
CITY OF _______________) S.S.
AFFIDAVIT OF NO KNOWLEDGE
(Circumstances Regarding _________________________________________)
I, _______________________________________, of legal age, Filipino, ____________, and presently residing at ________________ _________________________________________________, after having been duly sworn to in accordance with law, depose and state:
That I am the only child of FIFTY and SHADES GREY, both now deceased.
I am currently requesting for the late registration of the Birth Certificate of FIFTY GREY, whose maiden name was FIFTY CENTS, who is the daughter of One and Two Cents, in the Civil Registrar Office in Imus City, Cavite.
That we are causing its registration for the reason that I am in the process of claiming my mother’s survivorship claims in GSIS.
That one of the requirements for the said late registration is the determination of the location and date of my maternal grandparents, which unfortunately cannot be retrieved anymore because the marriage certificate of my maternal grandparents got lost.
That I have no knowledge of any circumstances regarding the marriage of my maternal grandparents, as they died when I was still young, and thus had no clear recollection of them.
That I am executing this affidavit to attest the truth of the foregoing facts and for whatever legal purpose it may serve.
AFFIANT FURTHER SAYETH NOT.
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____.