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    Affidavit of The Mother

    Uploaded by

    CJ Villaluz
    1) Rebecca Etang Sobremisana swears in an affidavit that she is the mother of Shanelle Sobremisana Rebatado, born on May 23, 2018 at the Adventist Medical Center-Bacolod. 2) The attending physician was Dr. Eireen B. De Leon. 3) The father is Jerald Lobaton Rebatado and he acknowledged paternity on the birth certificate.

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    Affidavit of The Mother

    Uploaded by

    CJ Villaluz
    794 views1 page
    1) Rebecca Etang Sobremisana swears in an affidavit that she is the mother of Shanelle Sobremisana Rebatado, born on May 23, 2018 at the Adventist Medical Center-Bacolod. 2) The attending physician was Dr. Eireen B. De Leon. 3) The father is Jerald Lobaton Rebatado and he acknowledged paternity on the birth certificate.

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    1) Rebecca Etang Sobremisana swears in an affidavit that she is the mother of Shanelle Sobremisana Rebatado, born on May 23, 2018 at the Adventist Medical Center-Bacolod. 2) The attending physician was Dr. Eireen B. De Leon. 3) The father is Jerald Lobaton Rebatado and he acknowledged paternity on the birth certificate.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    794 views1 page

    Affidavit of The Mother

    Uploaded by

    CJ Villaluz
    1) Rebecca Etang Sobremisana swears in an affidavit that she is the mother of Shanelle Sobremisana Rebatado, born on May 23, 2018 at the Adventist Medical Center-Bacolod. 2) The attending physician was Dr. Eireen B. De Leon. 3) The father is Jerald Lobaton Rebatado and he acknowledged paternity on the birth certificate.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    REPUBLIC OF THE PHILIPPINES)

    CITY OF BACOLOD )
    X---------------------------------------X

    AFFIDAVIT OF THE MOTHER

    I, REBECCA ETANG SOBREMISANA, of legal age, Filipino, and a resident of Manihan,


    Barangay Bunga, Salvador Benedicto, Negros Occidental, Philippines, after having been duly sworn in
    accordance with the law, depose and say:

    That I am the mother of the illegitimate child named, SHANELLE SOBREMISANA


    REBATADO who was born at the Adventist Medical Center-Bacolod, Bacolod City on May 23, 2018;

    That the attendant to the delivery was EIREEN B. DE LEON, MD addressed at Adventist
    Medical Center – Bacolod, Bacolod City, Negros Occidental, Philippines.

    That the father of my child is JERALD LOBATON REBATADO who is a resident of Manihan,
    Barangay Bunga, Salvador Benedicto, Negros Occidental, Philippines.

    That the father of my child acknowledges her birth by accomplishing the affidavit of
    acknowledgment at the back page of the Certificate of Live Birth;

    That lately when I went to the Office of the City of Civil Registrar of Bacolod City to request for
    a copy of her birth certification, I was surprised to find out that my child’s birth was not registered within
    the prescribed period of thirty days;

    That when I verified from the attendant of his birth, I was informed that she failed to register the
    same because the certificate was not properly signed by us and we also failed to follow-up the attendant
    of the birth;

    I execute this affidavit to affirm the truth of the foregoing and to request the Civil Registrar of
    Bacolod City to register my birth late in accordance with the provision of Circular No. 90-4, so that I
    could secure an Official Copy which I was going to use in school.

    IN WITNESS WHEREOF, I set my hand on this affidavit this ______ day of _______________
    at the City of Bacolod, Philippines.

    ______________________
    Affiant

    SUBSCRIBED AND SWORN to before me this ______ day of _____________ 20_____


    at _______________________________, Negros Occidental, affiant exhibiting to me his
    __________________________ with number __________________ as valid proof of his identity.

    NOTARY PUBLIC

    Doc No. _______


    Page No. _______
    Book No. _______
    Series of 20 _____

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