REPUBLIC OF THE PHILIPPINES )

CALAMBA CITY, LAGUNA ) S.S.

AFFIDAVIT OF RELATIONSHIP

I, xxxxxxxxxxxxxx, of legal age, single, and with

residential address at xxxxxxxxxxxxxxxxxxxx, after having
been duly sworn to in accordance with law, do hereby
depose and say:

That, I am the father of xxxxxxxxxxxxxxxxxxx, who

was born on xxxxxxxxxxxxxxxx, as evidenced by the Birth
Certificate hereto attached and marked as Annex “A”, to form
part hereof;

That, her mother xxxxxxxxxxxxxxxxx and I are not

yet married, when xxxxxxxxxxxxxxx was born;

That I am executing this affidavit to attest to the truth

of the foregoing facts, and to prove my relationship with my
child xxxxxxxxxxxxxxxxxxxxxx, in connection with the
Delayed Registration of her Certificate of Live Birth

xxxxxxxxxxxxxxxxxxx
Affiant
Driv. Lic. No. xxxxxxxxxxxxx

Subscribed and Sworn to before me this 12 th day of

December 2019 at Calamba City, Laguna.