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REPUBLIC OF THE PHILIPPINES
[Province/City/Municipality]) S.S.
AFFIDAVIT OF ACKNOWLEDGMENT OF PATERNITY
I, [Full Name], of legal age, [civil status], [nationality], and presently residing at [Complete Address], after having been duly sworn to in accordance with law, depose and state:
That I am the biological father of [Child’s Full Name], who was born on [Date of Birth] at [Place of Birth], as evidenced by his/her Certificate of Live Birth;
That the mother of the child is [Mother’s Full Name], of legal age, [civil status], and a resident of [Mother’s Address];
That at the time of the child’s birth, [state whether you were married to the mother or not], and as a result, the child was registered as illegitimate in his/her birth certificate;
That despite the child's illegitimacy, I freely and voluntarily acknowledge my paternity over the child and recognize him/her as my own, granting him/her all the rights and privileges as provided under the law; and
That I am executing this affidavit to affirm my acknowledgment of paternity over the said child, for purposes of registration with the Local Civil Registrar, the Philippine Statistics Authority (PSA), and for any legal purpose it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this ___ day of [month], [year], at [place of execution].
[Full Name]
Affiant
SUBSCRIBED AND SWORN TO before me in the City/Municipality of [location], this ___ day of [month], [year], by affiant who has satisfactorily proven his/her identity through [Government ID type and number], issued on [date] and expiring on [date], that he/she is the same person who personally signed before me the foregoing Affidavit of Loss and acknowledged that he/she executed the same.
NOTARY PUBLIC
Doc No. ____;
Page No.____;
Book No. ___;
Series of [YEAR]