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This affidavit acknowledges paternity and allows the use of the father's surname for a child. It states the father's name and identifies the child by providing the child's full name, date and place of birth. It recognizes the child as the father's legal heir and allows the child to use the father's surname. The father signs the affidavit to comply with Republic Act No. 9255.
This affidavit acknowledges paternity and allows the use of the father's surname for a child. It states the father's name and identifies the child by providing the child's full name, date and place of birth. It recognizes the child as the father's legal heir and allows the child to use the father's surname. The father signs the affidavit to comply with Republic Act No. 9255.
This affidavit acknowledges paternity and allows the use of the father's surname for a child. It states the father's name and identifies the child by providing the child's full name, date and place of birth. It recognizes the child as the father's legal heir and allows the child to use the father's surname. The father signs the affidavit to comply with Republic Act No. 9255.
AFFIDAVIT OF PATERNITY AND USE OF FATHER’S SURNAME
I, ____________________ of legal age, _______ citizen, and presently residing at
___________________________________________, after having been duly sworn to in
accordance with law, do hereby depose and say:
full name of child
1. That I am the biological father of ____________________________________;
full name of child
2. That my child ______________________________ was born on date of bith ____________________ at place of birth __________________________________________;
3. That the facts of birth of my child were duly registered at the
_______________________________________________________________; office where birth was registered
full name of child
4. That being the father of _____________________, I hereby acknowledge and recognize full name of child ___________________________________ as my child and legal heir;
full name of child
5. That I am allowing my child _______________________________ to use my surname to be his/her surname in his Certificate of Live Birth; and
6. That I execute this affidavit to attest to the truth of the above facts in compliance with the provisions of Republic Act No. 9255.
IN WITNESS WHEREOF, I have hereunto set my hand this __ day of month
______ at place where you signed this affidavit ____________________.
printed full name here
Affiant (Signature Over Printed Name)
SUBSCRIBED AND SWORN to before me this ___ day of ______ in the
____________, affiant exhibiting to me his competent evidence of identity by way of ___________________ issued at ______________________ on ________________.
Doc No. : _____
Page No.: ______ Book No.: ______ Series of Notary Public