ACKNOWLEDGEMENT OF PATERNITY
ACKNOWLEDGEMENT OF PATERNITY
I, Mr. ______________________, a ______________ citizen, of legal age, single/married, temporarily residing at ______________________________________ ,
Malaysia, after having been duly sworn to in accordance with law hereby depose and state:
1. That I am living together with Ms. __________________ , a Filipino citizen with Passport no. _____________ issued on _______________________ at _____________________________________ , Philippines.
2. That out of wedlock was born ____________________________ on __________________ in _______________________________________ ,
Malaysia.
3. That in the Birth Certificate issued by the __________________ Civil Registry, my name was not written as the father since we are not married.
4. That I acknowledge paternity of ___________________________________ .
5. That I execute this affidavit in support to the Report of Birth and passport application of my daughter/son.
IN WITNESS WHEREOF, I have hereunto affixed my signature this __________
Day of __________ 2007 at Kuala Lumpur, Malaysia.
_____________________
Affiant
(Printed name and Signature)
SUBSCRIBED AND SWORN to before me this ________ day of __________ at
Kuala Lumpur, Malaysia. Affiant exhibiting to me his/her I.C./Passport No.: _________________ issued on _______________________________ .
Doc No. :
Series of :
O.R. No. :
Fee :
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