Affidavit of Acknowledgment of Paternity

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Republic of the Philippines)

Quezon City, Metro Manila) S.S.

AFFIDAVIT OF PATERNITY AND USE OF FATHER’S SURNAME

I, JERWIN SILAYAN VILLANUEVA , of legal age, Filipino citizen, and presently residing
at 417 NHA Delpan St., Tondo, Manila after having been duly sworn to in accordance with law,
do hereby depose and say:

1. That I am the biological father of SOFIA EHRA PARRENO RONQUILLO ;

2. That my child SOFIA EHRA PARRENO RONQUILLO was born on January 2, 2017 in the
City of Manila ;

3. That the facts of birth of my child were duly registered at the Local Civil Registry of
Manila;

4. That being the father of SOFIA EHRA PARRENO RONQUILLO, I hereby acknowledge
and recognize her as my child and legal heir;

5. That I am allowing my child SOFIA EHRA PARRENO RONQUILLO to use my


surname VILLANUEVA to be her surname in her Certificate of Live Birth; and

6. That I execute this affidavit to attest to the truth of the above facts in compliance with
the provisions of Republic Act No. 9255.

IN WITNESS WHEREOF, I have hereunto set my hand this __ day of June at Quezon
City, Metro Manila.

JERWIN SILAYAN VILLANUEVA


Affiant

SUBSCRIBED AND SWORN to before me this ___ day of June 2019 in Quezon City ,
affiant exhibiting to me his competent evidence of identity by way of _________________ issued
at ______________________ on ________________.

Doc No. : _____


Page No.: ______
Book No.: ______
Series of 2019

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