Republic of the Philippines )

City of Zamboanga ) S.S

X ------------------------------ X

AFFIDAVIT OF ACKNOWLEDGMENT
I, ___________, of legal age, married, and a resident of ________,
after having duly sworn to an oath hereby declares:

That I am the father of ___________ who was born on ___________

in _______;

That I and __________, the mother of ________, were not married at

the time that she was born;

That I was not able to acknowledge my child at the time that her birth was
registered in the Civil Registry, because I was informed at the hospital that it was
not allowed since I and _______ were not yet married;

That as a consequence thereto, I am executing this Affidavit for the

purpose of acknowledging __________, and to expressly give my consent that
she would use my family name, DUTERTE, which he was already using in all her
school records and diploma and licenses;

That I am further executing this Affidavit to attest to the truth of the

foregoing facts and for whatever legal purposes and intents this may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this

November 6, 2018, at ____________, Philippines.

____________
Affiant

Signed in the presence of:

SUBSCRIBED AND SWORN TO BEFORE me this November 6, 2018,

at Zamboanga City, Philippines, Affiant presented to me his Office ID issued by
____bearing numbers ______as his competent evidence of identity.