REPUBLIC OF THE PHILIPPINES)

MUNTINLUPA CITY ) S.S.

AFFIDAVIT OF FAMILY STATUS

I, _________________, of legal age, Greek and a resident of

_______________, after having been duly sworn in accordance with law do hereby
depose and state that:

1. I am the father of the following children:

i. _________________ who was born in ____________on

_________________
ii. _______________ who was born in
________________________ on May _______________;
iii. ___________________ who was born in
_____________________________ on _________________.

2. I hereby acknowledge my paternity/filiation to my children mentioned

above;

3. In support hereof, I have attached herewith the Birth Certificate of my

above-mentioned children and made integral part of this Affidavit.

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

statements and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 20 th day of

November 2018 at Muntinlupa City, Philippines.

______________________
Affiant

SUBSCRIBED AND SWORN to before me this 20th day of November 2018 at

Muntinlupa City, affiant exhibiting to me his _______________ as competent proof of
identity with no. ____________ issued on ____________ in Greece.

Doc. No. : ________;

Page No. : ________;
Book No. : ________;
Series of 2018.