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    Affidavit of The Mother

    Uploaded by

    Jeshisha
    affidavit of the mother

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Affidavit of The Mother

    Uploaded by

    Jeshisha
    92 views1 page
    affidavit of the mother

    Original Title

    Affidavit of the Mother

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    © © All Rights Reserved

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    affidavit of the mother

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    92 views1 page

    Affidavit of The Mother

    Uploaded by

    Jeshisha
    affidavit of the mother

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    Republic of the Philippines )

    _____________ ) s.s.
    _____________ )

    AFFIDAVIT OF THE MOTHER

    I_____________, of legal age, Filipino, and a resident of


    _____________, after having been duly sworn to in accordance with
    law hereby depose and state:

    1. That I am the mother of _____________ who was born on


    _____________at _____________;

    2. That her birth was recorded under Registry No. _____________;

    3. That I am willing to allow my daughter to use the surname of


    her father in accordance with RA 9255;

    4. That I am executing this affidavit to attest to the truth of the


    foregoing statements, to allow the change of surname of my
    daughter and for whatever legal purpose this may serve.

    IN WITNESS WHEREOF, I have hereunto affixed my signature


    this _____________ at _____________.

    _____________
    Affiant
    ID No.: _____________
    Issued by: _____________

    SUBSCRIBED and SWORN to before me this _____________ at


    _____________.

    Doc No.
    Page No.
    Book No.
    Series of 2015

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