Sample Petition Adoption
Sample Petition Adoption
Sample Petition Adoption
PETITION
4. Petitioners have 4 children, all of legal age and have given their
express consent to this adoption as shown by their Joint-Affidavit of
Consent attached to this Petition as Annex “B”. Birth Certificate of their
children showing their ages are also made part of this Petition as Annexes
“C” to “C-3” for F1, F2, F3 and F4, respectively.
5. Petitioners are serious and desirous to legally adopt as their
own child (actually the niece of petitioner Alexander Sario Reyes) the
minor, C2, who was born on 25 May 2010 at _________, as shown by her
Certificate of Live Birth, photocopy of which is hereto attached as Annex
“D”, to form part hereof. Said minor is the natural child of J1.
6. Said minor child have been residing and living with the
petitioners since 4 months after her birth. When the care and support of
said minor child was given to and taken by herein petitioners since that
time up to the present, her natural parents were not insane nor
intemperate, and with full knowledge of petitioners’ good intention and
best welfare and interest of said minor and that petitioners had been
rearing/caring and/or supporting and will be in a more and better position
to finance, care, educate and support said minor whom they have
considered as their own child aside from being their niece.
10. The minor’s natural parents are not married. The father has
disappeared even before the minor adoptee was born and could no longer
be found. The mother has given her express/tacit written consent and
conformity to this adoption, as confirmed by her signature below aside
from her Affidavit of Consent attached as Annex “E”, to form part hereof.
13. From the time minor adoptee lived in the house and with the
family of the Petitioners, she had been known by the name of C1. In fact,
during her baptism, she was baptized under the rites of the Catholic
Church under such a name. Copy of her baptismal certificate is hereto
attached as Annex “F”. She in now in fact fondly called “PPP”, a short term
for her name, Peepee.
14. In the minor adoptee’s school records, she had been using the
said name of C1. Copies of her school records are hereto attached as
Annexes “G” to “G-2” to form part hereof.
PRAYER
c. The minor adoptee be allowed to use the name C1, and that her birth
certificate be amended and this name be entered as her own; and
d. Petitioners further pray for such other reliefs just and equitable under
the premises.
A1 B1
Petitioner Petitioner
CONFORME :
J1
(Biological Mother)
Assisted by:
X
REPUBLIC OF THE PHILIPPINES )
_________________________ ) S.S.
VERIFICATION/CERTIFICATION
That if we should thereafter learn that a similar action has been filed
or pending before the Supreme Court, the Court of Appeals, or any other
tribunal or agency, we undertake to report that fact within five (5) days
therefrom to the Court.
A1 B1
Petitioner/Affiant Petitioner/Affiant
Passport Number : 11111 Passport Number :2222222
Valid Until : 28 July 2016 Valid Until : 28 July 2016
Issued at : DFA, Manila Issued at : DFA, Manila
JURAT