Affidavit of Acknowledgement Sample

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REPUBLIC OF THE PHILIPPINES)

CITY OF MALOLOS ) S.S.


x------------------------------------x

AFFIDAVIT OF ACKNOWLEDGEMENT

I, _____________, of of legal age, Filipino, single and a


resident of Blk. 27, Lot 12,_________________ City, Bulacan after
having been duly sworn to in accordance with law, deposes and
states THAT:

1. I am the biological father of _____________;

2. _________________ was born on ____________ at ______;

3. I am executing this affidavit to attest to the foregoing facts and for


the purpose of recognizing _________ as my illegitimate child.

IN WITNESS WHEREOF, we have hereunto set our hands this June


23, 2017 in Malolos City, Philippines.

__________________
Affiant
Police Clearance
Certificate No. 1086769

SUBCRIBED AND SWORN TO before me this June 23, 2017 in


Malolos City, Philippines, affiants exhibiting to me his valid proof of
identification.

Doc. No. _____


Page No. _____
Book No. _____
Series of 2017.

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