AFFIDAVIT FORMS - Docx - 1561726127016

Republic of the Philippines )
Province of Cebu )S.S.

Municipality of Liloan )
AFFIDAVIT OF LATE REGISTRATION
We, _________________ and ___________________, both are Filipino, of legal

age, residing at ________________________, after having been duly sworn to in
accordance with law, do hereby depose and say;
1. That we personally know __________________, the daughter of
______________________ and _________________________, being our
neighbor and intimate friend of the family in ____________________________;
2. That he/she was born on ____________________ at ___________________, and

that the said birth was not registered at the Municipal/City Civil Registry Office of
_____________________________________, because of
____________________________;
3. That we are not related to the said person either by consanguinity or by affinity
nor do we have any pecuniary interest whatsoever;
4. That we are executing this affidavit to affirm the true facts of the birth record of
______________________________ who would want to avail of late registration
of birth at the Office of the Civil Registry of _____________________.
IN WITNESS WHEREOF, we hereunto set our hands this ______ day of

_________________ at __________________________.
__________________________ __________________________
Affiant Affiant
CTC No. : CTC No :

Date Issued : Date Issued :
Place Issued : Place Issued :
Subscribed and sworn to before me this ___th day of ___________________ at

Liloan, Cebu Philippines.
Republic of the Philippines)

Province of Cebu )SS Reg. No. _______________
AFFIDAVIT OF LEGITIMATION
We, ___________________ and __________________, both Filipinos, of legal ages, and

residents of ________________________________, after having been duly sworn to in
accordance with law hereby depose and say:
1. That we are the biological parents of _________________________ , who was born on

__________________________ at __________________________;
2. That at the me of the concep on and birth of the said child we were not yet married,
hence the child was born out of wedlock;
3. That the said child was conceived and born outside of wedlock but at the me of
concep on, the parents were not disqualified by any impediment to marry each other,
4. That our child was not conceived and born out of an adulterous, incestuous or bigamous
or of a marriage void of public policy;
5. That on _____________________________, we subsequently entered into a valid

contract of marriage, at the __________________________________;
6. That it is to the best interest of the our child to be conferred with a legi mate status;
7. That we execute this affidavit to establish the foregoing facts for the purpose of
conferring a legi mated status to __________________________________.
IN WITNESS WHEREOF, we have hereunto set our hands this ___th day of
___________________ at Liloan, Cebu Philippines;
____________________________ ________________________________
AFFIANT AFFIANT
VIN: ______________________________ VIN:____________________________
COMELEC________________________ COMELEC - _____________________
SUBSCRIBED AND SWORN TO BEFOR ME, this ___th day of _____________________

in Liloan Cebu Philippines.

Province of Cebu )SS
Municipality of Liloan ) Reg. No. _______________
AFFIDAVIT OF LEGITIMATION
(UNDER RA 9858 where the child was conceived with mother/father or both are below 18 years
old)
We spouses, ____________________and __________________, both Filipinos, of legal

ages, and residents of _____________________________, a er having been duly sworn to in
accordance with law hereby depose and say:
1. That we are the biological parents of __________________________, who was born on

__________________________, at _____________________________;
2. That at the me of the concep on and birth of the said child we were not yet married,
hence the child was born out of wedlock;
3. That the said child was conceived and born outside of wedlock but at the me of
concep on the parents were not disqualified by any impediment to marry each other,
except that the mother, father or both was / were below eighteen (18) years of age;
4. That this impediment have been amended by RA 9858 allowing the child to be
legi mated by subsequent marriage of the parents even if one of them is below eighteen
(18) years old during the concep on of the child;
5. That our child was not conceived and born out of an adulterous, incestuous or bigamous
or of a marriage void of public policy;
6. That on _______________________, we subsequently entered into a valid contract of

marriage at ____________________________________;
7. That it is to the best interest of the our child to be conferred with a legi mate status;
8. That we execute this affidavit to establish the foregoing facts for the purpose of
conferring a legi mated status to_______________________________.
IN WITNESS WHEREOF, we have hereunto set our hands this 27th day of December 2018
at Liloan Cebu;
__________________________ ________________________________
AFFIANT AFFIANT
VIN:_______________________________ VIN: ___________________________

COMELEC ______________________ COMELEC _______________
SUBSCRIBED AND SWORN TO BEFOR ME, this _____th day of __________________ in

Liloan Cebu.
RA9255 Form No. 1

(Revised March 2016)
REPUBLIC OF THE PHILIPPINES )SS

LILOAN CEBU )SS
Registry No____________
AFFIDAVIT TO USE THE SURNAME OF THE FATHER

I, __________________ , FILIPINO ___________ ______ years old, a
Affiant’s Name (mother) Ci zenship Civil Status age
resident _______________________ a er having been duly sworn to in accordance with law do
hereby declare that:
1. I am seeking the use of Surname _______________ ____________________________ in:
a) My cer ficate of Live Birth / Report of Birth, pursuant to RA 9255
b) The Cer ficate of Live Birth / Report of Birth, __________________________

(Complete name of child)
Who is my ___________________ pursuant to RA 9255
( Rela onship of the affiant to the child)
2. He / She was born on _______________ at ____________ ___________ Philippines
(Date of Birth) (Municipality) (Province) (Country)
3. My/The birth was recorded under Registry No. ____________ on ______________ (if applicable)
4. The public document of the Private Handwri en Instrument was recorded under Registry
No.________________ on ____________________ at the Local Civil Registry Office (LCRO)
(Registry NO) (Date of Registra on)
5. I am filing this AUSF at the LCRO / PFSP of _________ ____ ____________ _____________
(Municipality) (Province) (country)
In Accordance with RA 9255 and its Revised Implemen ng Rules and Regula on.
6. I hereby cer fy that the statements made herein are true and correct to the best of my
knowledge and belief.
7. In witness whereof, I hereby affix my signature on this ____day of _______________ 2018
at
Liloan Cebu.
______________________
(Signature Over Printed Name of the Affiant)
SUBSCRIBED AND SWORN to before me this ___ day of _____ 2018 in

this city / municipality of Liloan Cebu, affiant exhibi ng his / her _________ issued on ________ at
_______________. I cer fy that I personally examined the affiant and that he/she voluntarily
executed the foregoing affidavit and understood the contents thereof.

Province of Cebu ) S.S.
Registry No. ____________
AFFIDAVIT OF ACKNOWLEDGMENT/ADMISSION OF PATERNITY
I, ____________________, of legal age, Filipino and presently residing at

_____________________________ having duly sworn to in accordance with law, do hereby
depose and state that;
1. I am the natural and biological father of ______________________ born on

____________________________ at __________________________;
2. The mother is ___________________________, my common law wife at the time

of the conception and birth of the above-mentioned child;
3. I am executing this affidavit to attest to the truthfulness of the foregoing statement

and for purposes of acknowledging my child, _____________________.
In truth whereof, I have hereunto affixed my signature this _____th

day of ___________________ at ______________________________.
___________________________
Affiant
SUBSCRIBED AND SWORN to before me this _____ day of ________________ at

_________________. Affiant exhibiting his Community Tax No / COMELEC ID VIN:
________________________________________.

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Republic of the Philippines )

Province of Cebu )S.S.

AFFIDAVIT OF LATE REGISTRATION

We, _________________ and ___________________, both are Filipino, of legal

2. That he/she was born on ____________________ at ___________________, and

IN WITNESS WHEREOF, we hereunto set our hands this ______ day of

CTC No. : CTC No :

Subscribed and sworn to before me this ___th day of ___________________ at

Republic of the Philippines)

We, ___________________ and __________________, both Filipinos, of legal ages, and

1. That we are the biological parents of _________________________ , who was born on

5. That on _____________________________, we subsequently entered into a valid

SUBSCRIBED AND SWORN TO BEFOR ME, this ___th day of _____________________

Republic of the Philippines)

We spouses, ____________________and __________________, both Filipinos, of legal

1. That we are the biological parents of __________________________, who was born on

6. That on _______________________, we subsequently entered into a valid contract of

VIN:_______________________________ VIN: ___________________________

SUBSCRIBED AND SWORN TO BEFOR ME, this _____th day of __________________ in

RA9255 Form No. 1

REPUBLIC OF THE PHILIPPINES )SS

AFFIDAVIT TO USE THE SURNAME OF THE FATHER

hereby declare that:

1. I am seeking the use of Surname _______________ ____________________________ in:

a) My cer ﬁcate of Live Birth / Report of Birth, pursuant to RA 9255

b) The Cer ﬁcate of Live Birth / Report of Birth, __________________________

SUBSCRIBED AND SWORN to before me this ___ day of _____ 2018 in

Republic of the Philippines)

Registry No. ____________

AFFIDAVIT OF ACKNOWLEDGMENT/ADMISSION OF PATERNITY

I, ____________________, of legal age, Filipino and presently residing at

1. I am the natural and biological father of ______________________ born on

2. The mother is ___________________________, my common law wife at the time

3. I am executing this affidavit to attest to the truthfulness of the foregoing statement

In truth whereof, I have hereunto affixed my signature this _____th

SUBSCRIBED AND SWORN to before me this _____ day of ________________ at

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