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That I am the biological father of Athena lar malabanan;

That the biological mother of the child is Rachel lar;


That my child Athena malabanan was born on __ at __;
That I warren malabanan, being the father of Athena malabanan hereby
acknowledged and recognized her as my child and legal heir;
That I am allowing my child Athena to use my surtname MALABANAN to be her
surname in her Certificate of Live Birth;
That I execute this affidavit to attest to the truth of the above facts in
compliance with the provision of Republic Act No. 9255.

REPUBLIC OF THE PHILIPPINES )


MALOLOS CITY, BULACAN . . . . ) S.S.

AFFIDAVIT TO USE SURNAME OF THE FATHER

We, ERIC ALBERT F. ACUÑA and MARY GRACE PASCUAL CAMUA,


both of legal ages, Filipinos and residents of 132 Closas St., Longos,
Meycauayan, Bulacan, after having been duly sworn to in accordance with law,
do hereby depose and say that:

1. We are the biological parents of GRACY MAY CAMUA;

2. Our child, GRACY MAY CAMUA was born on November 11, 2014 at
Malolos City, Bulacan;

3. I, ERICK ALBERT F. ACUÑA, being the father of GRACY MAY


CAMUA, I am acknowledging and recognizing her as my child legal
heir;

4. I am allowing my child GRACY MAY CAMUA to use my surname


ACUÑA, to be her surname in her Certificate of Live Birth;

5. I execute this affidavit to attest the truth of the above facts for
whatever legal intents and purposes it may serve and in compliance
with the provisions of Republic Act No. 9255, and “Act Allowing
Illegitimate Children to use the Surname of their father.

IN WITNESS WHEREOF, we have hereunto set our hands this 5 th day of


June, 2018 at Malolos City, Bulacan.

ERIC ALBERT F. ACUÑA MARY GRACE P. CAMUA


Affiant Affiant
UMID ID No. 0111-3052664-4 TIN 417-446-697

SUBSCRIBED AND SWORN to before me this 5 th day of June, 2018 at


Malolos City, Bulacan, affiant exhibiting to me their valid IDs listed below their
fnames, a competent proof of identity, and known to me and to me known
personally to be the same person who executed the foregoing affidavit.

Doc. No. ___;


Page No. ___;
Book No.___;
Series of 2018.
REPUBLIC OF THE PHILIPPINES )
MALOLOS CITY, BULACAN . . . . ) S.S.

AFFIDAVIT OF ACKNOWLEDGMENT
OF PATERNITY

I, AUGUSTO BOLIVAR M. DE LA PAZ, of legal age, Filipino and with residence and
postal address at 40 Lugam, Malolos City, Bulacan, after having been duly sworn to in
accordance with law, do hereby depose and say:

1. – That I am the father of ANGELO BIEN PATRIARCA who was born on July 9, 1981
at Malolos, Bulacan;

2. – That the mother of my said son is Ellen Patriarca;

3. – That Ellen Patriarca and myself were not married even when our said son was born
on July 9, 1981;

4. – That I acknowledged my son as my illegitimate child;

5. – That I am executing this affidavit to attest to the veracity of the contained herein and
for whatever legal intents and purposes it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 14th of July, 2011 at Malolos
City, Bulacan.

AUGUSTO BOLIVAR M. DE LA PAZ


Affiant

SUBSCRIBED AND SWORN to before me this 14th day of July, 2011 at Malolos City,
Bulacan. in accordance with the 2004 Rules of Notarial Practice, affiant exhibiting to me his
Senior Citizen’s ID. _______, a competent proof of identity, and known to me and to me known
personally to be the same person who executed the foregoing affidavit.

WITNESS MY HAND AND SEAL.

Doc. No. 138; BERNAR D. FAJARDO


Page No. 89; Notary Public
Book No. 88; Until December 31, 2012
Series of 2011. P.T.R. No. 4048722 Roll No. 33633
MCLE II-0019636 12-21-10
REPUBLIC OF THE PHILIPPINES )
MALOLOS CITY, BULACAN . . . . ) S.S.

AFFIDAVIT OF ABILITY TO USE THE


SURNAME OF FATHER

I, AUGUSTO BOLIVAR M. DE LA PAZ, of legal age, Filipino and with residence and
postal address at 40 Lugam, Malolos City, Bulacan, after having been duly sworn to in
accordance with law, do hereby depose and say:

1. – That I am the father of ANGELO BIEN PATRIARCA who was born on July 9, 1981
at Malolos, Bulacan;

2. – That the mother of my said son is Ellen Patriarca;

3. – That Ellen Patriarca and myself were not married even when our said son was born
on July 9, 1981;

4. – That as my child, I am allowing that he use my surname “DE LA PAZ” in all his
activities;

5. – That I am executing this affidavit to attest to the veracity of the contained herein and
for whatever legal intents and purposes it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 14th of July, 2011 at Malolos
City, Bulacan.

AUGUSTO BOLIVAR M. DE LA PAZ


Affiant

SUBSCRIBED AND SWORN to before me this 14th day of July, 2011 at Malolos City,
Bulacan. in accordance with the 2004 Rules of Notarial Practice, affiant exhibiting to me his
Senior Citizen’s ID. _______, a competent proof of identity, and known to me and to me known
personally to be the same person who executed the foregoing affidavit.

WITNESS MY HAND AND SEAL.

Doc. No. 139; BERNAR D. FAJARDO


Page No. 40; Notary Public
Book No. 88; Until December 31, 2012
Series of 2011. P.T.R. No. 4048722 Roll No. 33633
MCLE III-0019636 12-21-10
REPUBLIC OF THE PHILIPPINES )
MALOLOS CITY, BULACAN . . . . ) S.S.

AFFIDAVIT OF ABILITY TO USE THE


SURNAME OF FATHER

I, ANGELO BIEN PATRIARCA DE LA PAZ, of legal age, Filipino and with residence
and postal address at 40 Lugam, Malolos City, Bulacan, after having been duly sworn to in
accordance with law, do hereby depose and say:

1. – That I was born on July 9, 1981 at Malolos, Bulacan and my parents are Augusto
Bolivar M. de la Paz and Ellen Patriarca;

2. – That my parents are not married then and up to the present;

3. – That I will used the surname of my father “DE LA PAZ” in all my legal papers and
activities;

4. – That my used of surname “DE LA PAZ is with the written consent of my father;

5. – That I am executing this affidavit to attest to the veracity of the contained herein and
for whatever legal intents and purposes it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 14th of July, 2011 at Malolos
City, Bulacan.

ANGELO BIEN PATRIARCA DE LA PAZ


Affiant

SUBSCRIBED AND SWORN to before me this 14th day of July, 2011 at Malolos City,
Bulacan. in accordance with the 2004 Rules of Notarial Practice, affiant exhibiting to me his
Valid ID. _______, a competent proof of identity, and known to me and to me known personally
to be the same person who executed the foregoing affidavit.

WITNESS MY HAND AND SEAL.

Doc. No. 140; BERNAR D. FAJARDO


Page No. 89; Notary Public
Book No. 88; Until December 31, 2012
Series of 2011. P.T.R. No. 4048722 Roll No. 33633
MCLE III-0019636 12-21-10
REPUBLIC OF THE PHILIPPINES )
MALOLOS CITY, BULACAN . . . . ) S.S.

AFFIDAVIT OF CHANGE OF SURNAME

I, LEA L. LAVIÑA, of legal age, Filipino and resident of Sta. Rita, Guiguinto, Bulacan,
after having been duly sworn to in accordance with law, do hereby depose and say that:

That I am the mother of KIRK JOHN L. LAVIÑA who was born on August 4, 1993 at
Pasig City;

That the father of my said son is Rommel N. Whiting;

That Rommel N. Whiting and myself were not married even when our said son was born
on August 4, 1993;

That Rommel N. Whiting acknowledged our said child as his son on January 23, 2009;
copy of Certificate of Live Birth of our child with Remarks is herewith attached for ready
reference;

That as a consequence of acknowledgment of his father and as provided for under the
Family Code of the Philippines, my son will legally adopting the surname of his father so that
my son’s complete name will become KIRK JOHN L. LAVIÑA WHITING;

That I am executing this affidavit to attest to the truth of the foregoing declarations for
the purpose of requesting the Department of Education and any and all government offices to
cause the change of surname of my son in its records from KIRK JOHN L. LAVIÑA to KIRK
JOHN LAVIÑA WHITING and for whatever legal intents and purposes it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 21 st day of March, 2012 at
Malolos City, Bulacan.

LEA L. LAVIÑA
Affiant
Valid ID No.________

SUBSCRIBED AND SWORN to before me this 21 st day of March, 2012 at Malolos


City, Bulacan.

Doc. No. ___; BERNAR D. FAJARDO


Page No.___; Notary Public
Book No. 94 ; Until December 31, 2012
Series of 2012. PTR No. 7960111 Roll No. 33633
MCLE IV-0002533 8-16-11
REPUBLIC OF THE PHILIPPINES )
MALOLOS CITY, BULACAN . . . . ) S.S.

AFFIDAVIT OF ABILITY TO USE THE


SURNAME OF FATHER

I, EDGAR A. CRUZ, of legal age, Filipino and with residence and postal address at
Phase II Wood State, Dasmariñas, Cavite, after having been duly sworn to in accordance with
law, do hereby depose and say:

That I am the father of KRISTINE BEA ONG who was born on July 20, 1999 at
Dasmariñas, Cavite, copy of her Certificate of Live Birth is herewith attached;

That the mother of my said daughter is Shirley Ong;

That Shirley Ong and myself were not married even when our said daughter was born on
July 20, 1999;

That as my child, I am allowing that she use my surname “CRUZ” in all her activities;

I am executing this affidavit to attest to the truth of the foregoing declarations for the
purpose of requesting the Department of Education and any and all government offices to cause
the change of surname of my daughter in its records from KRISTINE BEA ONG to KRISTINE
BEA ONG CRUZ and for whatever legal intents and purposes it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 10 th of February, 2012 at


Malolos City, Bulacan.

EDGAR A. CRUZ
Affiant

SUBSCRIBED AND SWORN to before me this 10 th day of February, 2012 at Malolos


City, Bulacan. in accordance with the 2004 Rules of Notarial Practice, affiant exhibiting to me
his valid ID #. _______, a competent proof of identity, and known to me and to me known
personally to be the same person who executed the foregoing affidavit.

WITNESS MY HAND AND SEAL.

Doc. No. ___; BERNAR D. FAJARDO


Page No.___; Notary Public
Book No. 93; Until December 31, 2012
Series of 2012. P.T.R. No. 760111 Roll No. 33633
MCLE III-0019636 12-21-10
REPUBLIC OF THE PHILIPPINES )
MALOLOS CITY, BULACAN . . . . . ) S.S.

AFFIDAVIT OF ACKNOWLEDGMENT
OF PATERNITY

I, FERDINAND V. CUENCO, of legal age, Filipino and presently residing at


Calumpit, Bulacan, after having been duly sworn to in accordance with law, do hereby
depose and say:

That I know Elenita Lorenzo Puzon, the mother of Elaine Marie Puzon;

That I know that Elaine Marie Puzon was born on September 29, 1996 at Quezon
City, Metro Manila;

That I know that I am the father of Elaine Marie Puzon;

That however, at the time of her conception, I encountered personal problems


with her mother so that I did not admit my paternity when she was born;

That it was only recently that I acknowledged Elaine Marie Puzon as my daughter
with Elenita Lorenzo Puzon, her mother;

That I am ready and willing that my name be registered in her birth certificate as
her father;

That I am executing this affidavit to attest to the veracity of the facts contained
herein and for whatever legal intents and purposes it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 23 rd day of May, 2016
at Malolos City, Bulacan.

FERDINAND V. CUENCO
Affiant

SUBSCRIBED AND SWORN to before me this 23 rd day of May, 2016 at Malolos


City, Bulacan, affiant exhibiting to me his valid ID No. _______, a competent proof of
identity, and known to me and to me known personally to be the same person who
executed the foregoing affidavit.

Doc. No. ___;


Page No.___;
Book No.___;
Series of 2016.
REPUBLIC OF THE PHILIPPINES )
MALOLOS CITY, BULACAN . . . . . ) S.S.

AFFIDAVIT OF ACKNOWLEDGMENT
OF PATERNITY

I, REYMOND N. DE LEON, of legal age, Filipino and presently residing at 248


Purok 2, Mabini St., Santisima Trinidad, Malolos City, Bulacan, after having been duly
sworn to in accordance with law, do hereby depose and say:

That I know Guene M. Reyes, the mother of Aliza Jane Reyes;

That I know that Aliza Jane Reyes was born on June 2, 2010 at Paombong, Bulacan;

That I know that I am the father of Aliza Jane Reyes;

That I acknowledged Aliza Jane Reyes as my daughter with Guene M. Reyes, her
mother;

That I am ready and willing that my name be registered in her birth certificate as
her father;

That I am executing this affidavit to attest to the veracity of the facts contained
herein and for whatever legal intents and purposes it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 2 nd day of June, 2016
at Malolos City, Bulacan.

REYMOND N. DE LEON
Affiant

SUBSCRIBED AND SWORN to before me this 2 nd day of June, 2016 at Malolos City,
Bulacan, affiant exhibiting to me his VIN 1410-0471A-B0184RND10001-4, a competent
proof of identity, and known to me and to me known personally to be the same person
who executed the foregoing affidavit.

Doc. No. ___;


Page No.___;
Book No.___;
Series of 2016.
REPUBLIC OF THE PHILIPPINES )
MALOLOS CITY, BULACAN . . . . . . . .) S.S.

AFFIDAVIT OF ABILITY TO USE THE


SURNAME OF FATHER

I, FERNANDO R. CARLOS, of legal age, Filipino and with residence and


postal address at Capalangan, Apalit, Pampanga, after having been duly sworn to in
accordance with law, do hereby depose and say:

1. That I am the father of K.C. ABAC who was born on January 24, 1994 at
Calumpit, Bulacan, copy of her Certificate of Live Birth is herewith
attached;

2. That her mother Ma. Cecilia C. Abac and I were not legally married when
our said daughter was born;

3. That we got married only on October 7, 1997 at Calumpit, Bulacan;

4. That I am ready and willing that my name be registered in her birth


certificate as her father, so that my daughter’s complete name will
become K.C. ABAC CARLOS;

5. I am executing this affidavit to attest to the truth of the foregoing


declarations for the purpose of requesting the Department of Education
and any and all government offices to cause the change of surname of my
daughter in its records from K.C. ABAC to K.C. ABAC CARLOS and for
whatever legal intents and purposes it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 11 th day of May,


2017 at Malolos City, Bulacan.

FERNANDO R. CARLOS
Affiant

SUBSCRIBED AND SWORN to before me this 11 th day of May, 2017 at Malolos


City, Bulacan. in accordance with the 2004 Rules of Notarial Practice, affiant
exhibiting to me his valid ID #. _______, a competent proof of identity, and known to
me and to me known personally to be the same person who executed the foregoing
affidavit.

Doc. No. ___;


Page No.___;
Book No.___;
Series of 2017.
REPUBLIC OF THE PHILIPPINES )
MALOLOS CITY, BULACAN . . . . . ) S.S.

AFFIDAVIT OF ACKNOWLEDGMENT
OF PATERNITY

I, RUBEN FAUSTAN J. GALVAN II, of legal age, Filipino and resident of Pungo,
Calumpit, Bulacan, after having been duly sworn to in accordance with law, do hereby
depose and say:

1. That I know Alona Tanig Salonga, the mother of JASSENNE FAITH


SALONGA;

2. That I know that JASSENNE FAITH SALONGA was born on August 3, 2008 at
Calumpit, Bulacan;

3. That I know that I am the father of JASSENNE FAITH SALONGA;

4. That however, at the time of her conception, I encountered personal problems


with her mother so that I did not admit my paternity when she was born;

5. That I acknowledged JASSENNE FAITH SALONGA as my daughter with Alona


T. Salonga, her mother;

6. That I am ready and willing that my name be registered in her birth certificate
as her father;

7. That I am executing this affidavit to attest to the veracity of the facts contained
herein and for whatever legal intents and purposes it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this __ day of July, 2017 at
Malolos City, Bulacan.

RUBEN FAUSTAN J. GALVAN II


Affiant

SUBSCRIBED AND SWORN to before me this __day of July, 2017 at Malolos City,
Bulacan, affiant exhibiting to me his ___________, a competent proof of identity, and
known to me and to me known personally to be the same person who executed the
foregoing affidavit.

Doc. No. ___;


Page No.___;
Book No.___;
Series of 2017.
REPUBLIC OF THE PHILIPPINES )
MALOLOS CITY, BULACAN . . . . . ) S.S.

AFFIDAVIT OF ACKNOWLEDGMENT
OF PATERNITY

I, ARVIN G. BERNARDO, of legal age, Filipino and resident of Gatbuca,


Calumpit, Bulacan, after having been duly sworn to in accordance with law, do
hereby depose and say:

1. That I know Lizel N. Calma, the mother of ARVIEL CALMA


BERNARDO;

2. That I know that ARVIEL CALMA BERNARDO was born on October


27, 2017 at Dakila, Malolos City, Bulacan;

3. That I know that I am the father of ARVIEL CALMA BERNARDO;

4. That I acknowledged ARVIEL CALMA BERNARDO as my daughter


with Lizel N. Calma, her mother;

5. That I am ready and willing that my name be registered in her birth


certificate as her father;

6. That I am executing this affidavit to attest to the veracity of the facts


contained herein and for whatever legal intents and purposes it may
serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 7 th day of


November, 2017 at Malolos City, Bulacan.

ARVIN G. BERNARDO
Affiant

SUBSCRIBED AND SWORN to before me this 7th day of November, 2017


at Malolos City, Bulacan, affiant exhibiting to me his CTC No. 02664705
issued at Malolos City, Bulacan on November 6, 2017, a competent proof of
identity, and known to me and to me known personally to be the same person
who executed the foregoing affidavit.

Doc. No. ___;


Page No.___;
Book No.___;
Series of 2017.
REPUBLIC OF THE PHILIPPINES )
MALOLOS CITY, BULACAN . . . . . ) S.S.

AFFIDAVIT OF ACKNOWLEDGMENT
OF PATERNITY

I, ERIC ALBERT FERNANDEZ ACUÑA, of legal age, Filipino and


resident of 132 Closas St., Longos, Meycauayan, Bulacan, after having been
duly sworn to in accordance with law, do hereby depose and say:

1. That I know Mary Grace Pascual Camua, the mother of GRACY


MAY CAMUA;

2. That I know that GRACY MAY CAMUA was born on November 11,
2014 at Malolos City, Bulacan;

3. That I know that I am the father of GRACY MAY CAMUA;

4. That I acknowledged GRACY MAY CAMUA as my daughter with


Mary Grace Pascual Camua, her mother;

5. That I am ready and willing that my name be registered in her birth


certificate as her father;

6. That I am executing this affidavit to attest to the veracity of the facts


contained herein and for whatever legal intents and purposes it may
serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 6 th day of


March, 2018 at Malolos City, Bulacan.

ERIC ALBERT FERNANDEZ ACUÑA


Affiant

SUBSCRIBED AND SWORN to before me this 6 th day of March, 2018 at


Malolos City, Bulacan, affiant exhibiting to me his UMID ID No. 0111-
3052664-4, a competent proof of identity, and known to me and to me known
personally to be the same person who executed the foregoing affidavit.

Doc. No.___;
Page No.___;
Book No.___;
Series of 2018.
REPUBLIC OF THE PHILIPPINES )
MALOLOS CITY, BULACAN . . . . ) S.S.

AFFIDAVIT TO USE SURNAME OF THE FATHER

We, ERIC ALBERT F. ACUÑA and MARY GRACE PASCUAL CAMUA,


both of legal ages, Filipinos and residents of 132 Closas St., Longos,
Meycauayan, Bulacan, after having been duly sworn to in accordance with law,
do hereby depose and say that:

6. We are the biological parents of GRACY MAY CAMUA;

7. Our child, GRACY MAY CAMUA was born on November 11, 2014 at
Malolos City, Bulacan;

8. I, ERICK ALBERT F. ACUÑA, being the father of GRACY MAY


CAMUA, I am acknowledging and recognizing her as my child legal
heir;

9. I am allowing my child GRACY MAY CAMUA to use my surname


ACUÑA, to be her surname in her Certificate of Live Birth;

10. I execute this affidavit to attest the truth of the above facts for
whatever legal intents and purposes it may serve and in compliance
with the provisions of Republic Act No. 9255, and “Act Allowing
Illegitimate Children to use the Surname of their father.

IN WITNESS WHEREOF, we have hereunto set our hands this 5 th day of


June, 2018 at Malolos City, Bulacan.

ERIC ALBERT F. ACUÑA MARY GRACE P. CAMUA


Affiant Affiant
UMID ID No. 0111-3052664-4 TIN 417-446-697

SUBSCRIBED AND SWORN to before me this 5 th day of June, 2018 at


Malolos City, Bulacan, affiant exhibiting to me their valid IDs listed below their
fnames, a competent proof of identity, and known to me and to me known
personally to be the same person who executed the foregoing affidavit.

Doc. No.___;
Page No.___;
Book No.___;
Series of 2018.
REPUBLIC OF THE PHILIPPINES )
MALOLOS CITY, BULACAN . . . . . . . ) S.S.

AFFIDAVIT OF ACKNOWLEDGMENT
OF PATERNITY

I, FERNANDO R. CARLOS, of legal age, Filipino and with residence and


postal address at Capalangan, Apalit, Pampanga, after having been duly sworn to in
accordance with law, do hereby depose and say:

1. That I know CARISSA ABAC who was born on September 10, 1997 in
Calumpit, Bulacan, copy of her Birth Certificate is hereto attached;

2. That her mother Ma. Cecilia C. Abac and I were not legally married when our
said daughter was born;

3. That I acknowledged CARISSA ABAC as my daughter with CECILIA C.


ABAC, her mother;

4. That Ma. Cecilia C. Abac and I got married only on October 7, 1997 at
Calumpit, Bulacan;

5. That taking into consideration that we are now legally married, I am adopting
our said child as our legitimate child, so that her complete name will become
CARISSA ABAC CARLOS;

6. That, the name CARISSA ABAC CARLOS which is her true and real
name and CARISSA ABAC, per Birth Certificate refers to one and the
same person;
7. I am executing this affidavit to attest to the truth of the foregoing declarations
for the purpose of requesting any and all government offices to cause the
change of surname of my daughter in its records from CARISSA ABAC to
CARISSA ABAC CARLOS and for whatever legal intents and purposes it
may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 15 th day of January


2020 at Malolos City, Bulacan.

FERNANDO R. CARLOS
Affiant

SUBSCRIBED AND SWORN to before me this 15th day of January, 2020 at


Malolos City, Bulacan. in accordance with the 2004 Rules of Notarial Practice, affiant
exhibiting to me his valid ID #. _______, a competent proof of identity, and known to
me and to me known personally to be the same person who executed the foregoing
affidavit.

Doc. No. ___;


Page No.___;
Book No.___;
Series of 2020.

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