REPUBLIC OF THE PHILIPPINES

REGIONAL TRIAL COURT

THIRD JUDICIAL REGION
BRANCH __,
City of San Fertnando, Pampanga

PETITION FOR ADOPTION OF MINOR –

AAA

SP. PROC. No. _____________

AA and
BB,
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