AFFIDAVIT OF ADMISSION OF PATERNITY

I, ________, of legal age, Filipino, and presently residing at: ________, do hereby depose and state that:

1. I am the biological father of ________ (the "Child");

2. My Child, ________ was born on ________ at: ________;

3. The facts of the birth of my Child, ________ were duly registered at the following registration office: ________ under the Certificate of Live Birth which is hereto attached;

4. At the time of birth of my Child, I was not married to my Child's mother, ________;

5. I hereby acknowledge my paternity to and recognize ________ as my Child and legal heir;

6. I am allowing my Child, ________ to use my surname to be and use my surname in my Child's Certificate of Live Birth;

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AFFIANT FURTHER SAYETH NAUGHT.

________

SUBSCRIBED AND SWORN TO BEFORE ME, this.............. day of......................................., 20........, atthe City/Municipality of _______________________________ Province of _______________________________, affiant, ________, personally appeared and exhibited to me the following competent proof of identification:

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NOTARY PUBLIC

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