Affidavit of Paternity

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 1

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF DAVAO DEL SUR ) S.S.


Municipality of Bansalan )
X - - - - -- - - - - - - --X

AFFIDAVIT OF PATERNITY AND CONSENT TO USE THE SURNAME

I, _______________, of legal age, Filipino, single, and a resident of


______________________, Davao del Sur, Philippines, after having been duly sworn to in
accordance with law do hereby depose and say:

1. That I am the same and identical person who have caused the execution of this Affidavit

2. That at the time of the birth of said minor, I was not legally married to her biological
mother;

3. That I hereby acknowledge paternity to the aforesaid minor;

4. That I am giving my consent for the minor to use my surname ____________ and that the
same be reflected in her birth certificate;

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

IN WITNESS WHEREOF, I have hereunto set my hand this __________________ at


Municipality of Bansalan, Philippines.

_______________________
Affiant

SUBSCRIBED AND SWORN TO BEFORE me this _______________ at Municipality


of Bansalan, Philippines, affiant exhibited to me his Identification No. shown above below his
name.

You might also like