7/23/2019 Affidavit - Self-Affidavit

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REPUBLIC OF THE PHILIPPINES)CEBU CITY ) SS

AFFIDAVIT

I, ___________________, Filipino, of legal age and with e!idential adde!!at Con!ola"ion, Ce#$, afte #eing !won in a""odan"e with law, hee#% !tateand de"lae&

'( That I wa! #on , an illegiti*ate "hild, a! indi"ated in*% Ceti+"ate of Lie Bith, a "op% of whi"h i! atta"hed a! Annex “A”of thi! -.dait(

/( That, on 0$l% /1, /2'3, I wa! legiti*ated #% the !$#!e4$ent *aiageof *% paent!, and , whi"h wa!"ele#ated la!t 0$l% /1, /2'3, whi"h !aid legiti*ation wa! annotated on

*% Ceti+"ate of Lie Bith5

3( That, #% it$e of *% legiti*ation, I wa! then 6nown a!  a! I had adopted the fa*il% na*e of *% fathe(

-FFI-NT f$the !a%eth none(

IN 7ITNESS 7HEREOF, I hae hee$nto !et *% hand thi!  da% of , /2'8 at (

____________________________-.ant

SUBSCRIBE9 -N9 S7ORN TO #efoe *e thi! in , with a.ant e:hi#iting to *e he "o*petent eiden"e of identit% (

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