Fa Form N 40 - Report Of Birth - Child Born Abroad Of Filipino Parent/s - Republic Of The Philippines Department Of Foreign Affairs Page 3
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3AFFIDAVIT FOR DELAYED REGISTRATION
OF
BIRTH
MARRIAGE
DEATH
(To be accomplished by either the father/mother/guardian or the person himself if 18 years old and above)
I, _______________________________ of legal age, single/married and
with residence and postal address at __________________________________.
After having duly sworn to in accordance with law, do hereby depose and say:
1.
That
I
am
the
applicant
for
the
delayed
registration
of
birth/marriage/death of ____________________________________.
2.
That I/he/she was born on _____________ in __________________.
That I/he/she am/is a citizen of the Philippines.
3.
4.
That the reason for the delay in registering the birth/marriage/death
was due to _____________________________________________.
__________________________
Signature
SUBSCRIBE AND SWORN to before me this __ day of _________ 201_.
__________________________
Notary Public
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