AFFIDAVIT OF LATE REGISTRATION OF BIRTH

I, ________________________________________________, a Filipino national,

of legal age, and presently residing at ________________________________________
__________________________________________, after having been duly sworn to in
accordance with the law, hereby depose and state:
That I am the father / mother of _______________________________________ ;
That right after his/her birth until today, I was not able to register the birth and
apply for a Philippine Passport for my said son/daughter due to the _________________
______________________________________________________________________;
That I am executing this affidavit to enable my son/daughter to secure a Philippine
Passport with the Philippine Consulate General in Hong Kong SAR.
IN WITNESS WHEREOF, I have hereunto affixed my signature this ______day
of ________________________ 20___ in Hong Kong SAR / Macao SAR.

______________________________
Affiant
CONSULATE GENERAL OF THE )
REPUBLIC OF THE PHILIPPINES) S.S.
HONG KONG SAR
)

SUBSCRIBED AND SWORN to before me this _____ day of ______________

20__ in Hong Kong SAR / Macao SAR, affiant exhibiting to me his/her Philippine
Passport / Hong Kong/ Macao identity card no. ____________________ issued on
____________ in _________________________________.
Doc. No.
Page No.
Book No.
Series of
Svc. No.
O.R. No.
Fee Paid

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: HK$