REPUBLIC OF THE PHILIPPINESREGIONAL TRIAL COURTTHIRD JUDICIAL REGIONBRANCH __,City of San Fertnando, Pampanga

PETITION FOR ADOPTION OF MINOR AAA

SP. PROC. No. _____________ AA andBB, Petitioners.x - - - - - - - - - - - - - - - - - - - x

PETITION

Petitioners, thru counsel, unto this Honorable Court most respectfully state:

1. That petitioners are AA and BB, Filipino Citizens, both of legal age, spouses and with residence at ______________________, where they may be served with the processes of this Honorable Court;

2. That the petitioners were married on _______________ at ________________, this fact is evidenced by their Certificate of Marriage, a copy of which is attached herein as Annex A;

3. That the herein petitioners desire to adopt AAA, born on _____________, a copy of the Certificate of Live Birth of minor AAA is attached herein as Annex B;

4. That petitioner BB gives his consent to the adoption of the subject minor. This fact is evidenced by the Affidavit of Consent of petitioner BB, a copy of which is attached herein as Annex C;

5. That the subject minor hereby gives her consent to the adoption and the legal implications of the adoption were explained to her. This fact is evidenced by the Affidavit of Consent of AAA, a copy of which is attached herein as Annex D;

6. That the subject minor has no real properties except for some personal effects;

7. That the subject minor is physically fit to be adopted by the petitioners. This fact is evidenced by the medical certificate, a copy of which is attached herein as Annex E;

8. That the subject minor possesses all the qualifications and none of the disqualifications for her to be adopted by the herein petitioners;

9. That the herein petitioners possess all the qualifications and none of the disqualifications to adopt the subject minor;

10. That the herein petitioners are in possession of full civil capacity and legal rights to adopt the subject minor;

11. That the petitioners have not been convicted of any crime involving moral turpitude. This fact is evidenced by the ______________________________________ which are attached herein as Annexes J, K, L,M ;

12. That the herein petitioners are physically, mentally, psychologically, emotionally, and financially qualified to adopt the said minor, this fact is evidenced by the medical certificate issued to the petitioners, copies of which are attached herein as Annexes S and T respectively;

13. That prior to the filing of the instant petition, a social worker has been assigned to the subject adoption and he has prepared the Child and Home Study Report which are attached herein as Annex X.

14. This petition will serve the best interest and well-being of the subject minor.

PRAYER

WHEREFORE, petitioners pray that after due notice, publication, and hearing, this petition for adoption be granted and:

a. Declaring the minor to be the daughter of the petitioners by adoption; and

b. That the last name of AAA be changed to _____, which is the surname of the petitioners.

Other reliefs just and equitable are prayed for.

Manila, June 24, 2011