Republic Of The Philippines Certificate Of Live Birth (Page 2 of 2) in pdf

For this before 3 August 1988/on or after 3 August 1998

AFFIDAVIT OF ACKNOWLEDGEMENT/ADMISSION OF PATERNITY

Well, ___________________________________________________ and ____________________________________

parents/parent of the child mentioned in this Certificate of live Birth, do hereby solemnly swear that the information contained herein are true

and correct to the best of our/my knowledge and belief.

_________________________________

_______________________________

(Signature of Father)

(Signature of Mother)

Community Tax No. _______________________

Community Tax No. _____________________

Date Issued _______________________________

Date Issued ____________________________

Place Issued ______________________________

Place Issued ____________________________

SUBSCRIBED AND SWORN to before me this ___________ day of ____________________________, _________________

at ___________________________________________________________________________________, Philippines.

_________________________________________

_______________________________________

(Signature of Administering Officer)

(Title/Designation)

_______________________________________________

___________________________________________

(Name in Print)

(Address)

Not applicable for births before 27 February 1931

AFFIDAVIT FOR DELAYED REGISTRATION OF BIRTH

(Either the person himself if 18 years old or over, or father/mother/guardian may accomplish this affidavit.)

I, ____________________________________________________________________, of legal age, single/married

and with residence and postal address at _____________________________________________________________________,

after having been duly sworn to in accordance with law, do hereby depose and say:

1. That I am the applicant for the delayed registration of my birth/of the birth of

_______________________________________________________.

2. That I/he/she was born on ____________________ at _____________________________________________.

3. That I/he/she was attended at birth by _______________________________________________who resides at

_____________________________________________________________________________.

4. That I/he/she is citizen of _________________________________________________________.

5. That my/his/her parents were

married on ____________________ at _______________________

_______________________________________________.

not married but was acknowledge by my/his/her father whose

name is ________________________________________________.

6. That the reason for the delay in registering my/his/her birth was due to ________________________________

________________________________________________________________.

7. That a copy of my/his/her birth certificate is needed for the purpose of ________________________________

________________________________________________________________.

(For the applicant only) That I am married to ________________________________________________.

(For the father/mother/guardian) That I am the ________________________________ of the said person.

_________________________________________

(Signature of Affiant)

Community Tax No. ________________________

Date Issued _______________________________

Place Issued ______________________________

SUBSCRIBED AND SWORN to before me this _________ day of _______________________, ______________

at ____________________________________________________________________

_______________, Philippines.

________________________________________

_____________________________________

(Signature of Administering Officer)

(Title/Designation)

_________________________________________________

______________________________________________

(Name in Print)

(Address)

Republic Of The Philippines Certificate Of Live Birth Page 2

Related Articles

Related forms

Related Categories