Republic of The Philippines Sworn Attestation
Republic of The Philippines Sworn Attestation
Republic of The Philippines Sworn Attestation
SWORN ATTESTATION
I KAREEN P. EGENIAS ,Filipino citizen ,single, of legal age, with address at 731 A Litex Rd
Commonwealth Quezon City after being sworn in accordance with the law, do hereby depose
and state that I am the mother of the affiant in the Affidavit to Use the Surname of the Father
(AUSF), that my child JULIUS ARCANGEL EGENIAS ALATRACA is fully aware of the consequences
of the use of the surname of his father.
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Signature of Mother/Guardian
over Printed Name
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Signature over Printed Name
of the Administering Officer