Republic of the Philippines

City of ____________

) S.S.

AFFIDAVIT OF ACKNOWLEDGMENT
I, _________________________, of legal age, single, Filipino and a resident
of _____________________________ , under oath, depose and state that:
1. That I am the biological father of one __________________, who was born
out of wedlock with one _______________________;
2. That my said child was born on ___________________ at
_________________________, as evidenced by his Certificate of Live Birth,
copy of which is hereto attached as Annex A;
3. That I will continue to support him until he becomes of age;
4. That I execute this Affidavit to attest to the truth of the foregoing
statements, for him to use my surname, to cause the effect of
legitimizing the said minor child, and for some other legal purposes.
IN WITNESS WHEREOF, I have hereunto set my hand this ____ of
________________________, at ____________________, Philippines.

Affiant
SUBSCRIBED AND SWORN TO before me this ______ day of
_______________, at ____________________, Affiant exhibiting to me his I.D./CTC
No.
__________________
issued
at
_____________________
on
_________________________, knowing him to be the same person who
personally signed this Affidavit.
Notary Public
Doc No.
Page No.
Book No.
Series of ______.