COLB Municipal Form No. 102
COLB Municipal Form No. 102
COLB Municipal Form No. 102
(For births before 3 August 1988) (For births on or after 3 August 1988)
I/We, and ,
of legal age, am/are the natural mother and/or father of , who was
born on at .
I am / We are executing this affidavit to attest to the truthfulness of the foregoing statements and for purposes of
acknowledging my/our child.
(Signature Over Printed Name of Father) (Signature Over Printed Name of Mother)
(If the applicant is other than the document owner) That I am the ___________________ of the said person.
7. That I am executing this affidavit to attest to the truthfulness of the foregoing statements for all legal intents and purposes.
In truth whereof, I have affixed my signature below this ______ day of ________________________________
_________________________________________ at ________________________________________, Philippines.