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DEED OF VOLUNTARY COMMITMENT

     I, MAMA BEAR, of legal age, Filipino, widow, temperate at all times and in full possession
of my mental powers, hereby declare:

     That I am the legitimate mother of the minor, BABY BEAR, five (5) years old, whose father
is now deceased.

     That due to my inability to support the said child, and believing it would be for her own
interest and benefit, I hereby give my written consent, freely and voluntarily, that said child be
committed to the Department of Social Welfare and Development for adoption,
in accordance with law.

      Makati City, 06 January 2014.

MAMA BEAR
                        
      SUBSCRIBED AND SWORN to before me this ____ day of ______ 2014 in _________,
Philippines, affiant exhibiting to me her competent evidence of identity by way of
_______________ issued at ___________ on ________________.

Doc No. :  _____                                                             


Page No.: ______                                           
Book No.: ______                                              
Series of 2014                                                                Notary Public                             

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