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    Attestation AUSF PDF

    Uploaded by

    June Rudini

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Attestation AUSF PDF

    Uploaded by

    June Rudini
    37 views1 page

    Original Title

    Attestation AUSF.pdf

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    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
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    37 views1 page

    Attestation AUSF PDF

    Uploaded by

    June Rudini

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Republic of the Philippines)

    )SS

    SWORN ATTESTATION

    I, _____________________________ , ______________ citizen, ____________


    (Name of Affiant - mother or guardian) (Citizenship) (Civil Status)

    of legal age, with address at _______________________________________________


    ____________________________________________ after being sworn in accordance
    with law, do hereby depose and state that I am the mother/guardian of the affiant in the
    Affidavit to Use the Surname of the Father (AUSF); that my child/ward
    __________________________________, is fully aware of the consequences of the
    use of the surname of his/her father.

    In witness whereof, I hereby hereunto affixed my signature this _____ day of


    _____________ 20___, in ____________________, _____________________.

    Signature of Mother/Guardian
    over Printed Name

    SUBSCRIBED AND SWORN to before me this ____ day of ___________ 20___


    in the city/municipality of _____________________________ affiant exhibiting his/her
    _____________________________ issued at ________________ on
    __________________. I certify that I personally examined the affiant and that he/she
    voluntarily executed the foregoing affidavit and understood the contents thereof.

    Signature over Printed Name


    of the Administering Officer

    Doc. No. _________


    Page No. _________
    Book No. _________
    Series of _________

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