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Affidavit of Acknowledgment of Paternity
Affidavit of Acknowledgment of Paternity
2. Our child, GRACY MAY CAMUA was born on November 11, 2014 at
Malolos City, Bulacan;
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.
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;
3. – That Ellen Patriarca and myself were not married even when our said son was born
on July 9, 1981;
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.
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.
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;
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.
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.
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;
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.
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.
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 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.________
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 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.
EDGAR A. CRUZ
Affiant
AFFIDAVIT OF ACKNOWLEDGMENT
OF PATERNITY
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 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
AFFIDAVIT OF ACKNOWLEDGMENT
OF PATERNITY
That I know that Aliza Jane Reyes was born on June 2, 2010 at Paombong, Bulacan;
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.
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;
FERNANDO R. CARLOS
Affiant
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:
2. That I know that JASSENNE FAITH SALONGA was born on August 3, 2008 at
Calumpit, Bulacan;
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.
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.
AFFIDAVIT OF ACKNOWLEDGMENT
OF PATERNITY
ARVIN G. BERNARDO
Affiant
AFFIDAVIT OF ACKNOWLEDGMENT
OF PATERNITY
2. That I know that GRACY MAY CAMUA was born on November 11,
2014 at Malolos City, Bulacan;
Doc. No.___;
Page No.___;
Book No.___;
Series of 2018.
REPUBLIC OF THE PHILIPPINES )
MALOLOS CITY, BULACAN . . . . ) S.S.
7. Our child, GRACY MAY CAMUA was born on November 11, 2014 at
Malolos City, Bulacan;
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.
Doc. No.___;
Page No.___;
Book No.___;
Series of 2018.
REPUBLIC OF THE PHILIPPINES )
MALOLOS CITY, BULACAN . . . . . . . ) S.S.
AFFIDAVIT OF ACKNOWLEDGMENT
OF PATERNITY
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;
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.
FERNANDO R. CARLOS
Affiant