R.A. No. 9255 Form No.

1
(Revised March 2016)
Consular Section
Philippine Consulate General
Toronto, Canada)

AFFIDAVIT OF ADMISSION OF PATERNITY

I,_____________________________________________ , of legal age, and presently residing at

___________________________________________________ , after having been duly sworn to in
accordance with law, do hereby depose and state that:

1. That I am the biological father of the child ______________________________ , who was born
on ___________________ at ________________________;

2. That at the time of birth of the said child, I am not married to her mother,
_________________________________;

3. That I hereby acknowledge paternity/filiation to the child,

_________________________________.

4. That I am executing this affidavit to attest the truth of the foregoing facts and for whatever legal
purpose it may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ______ day of ______________
20 ____ in Toronto, Ontario, Canada.

____________________________
Affiant's Signature over Printed Name

SUBSCRIBED AND SWORN to before me this ____ day of _______20__ at the Philippine
Consulate General, Toronto, Canada.

Doc No.: _____________

Fee: ________________
O.R. No.: ____________
Service No.: __________
Series of: ____________