EMBASSY OF THE PHILIPPINES) S.S.
SEOUL, REPUBLIC OF KOREA
AFFIDAVIT OF ADMISSION OF PATERNITY AND
CONSENT TO USE SURNAME OF FATHER
L , of legal age, Fliina end presently residing at
, having been duly
‘swomin accordance with law, hereby depose and state that
1, 1am the biological father of . who was bom on
(name of child as appears on birth cetfcate)
al
{date of bith)
and the child of
[mothers name as itappears in birh record) Aitached is a photocopy of the
Certificate of Live Birth and made an integral part hereof as Annex “A:
2 tthe time of my chlé’s birth, | was not legally married to hisiher mother.
3. Thereby admit under oath the paterity of for
(ame of child)
purposes of allowing him/her to use my surnam and give the child the rights. in
accordance with Republic Act. No, 9255,
4, This Affidavit of Patemity is being executed in order to attest to the truth of the
foregoing and for all other purposes mentioned herein
Aint further sayeth naught
In truth whereof, | have hereunto affixed my signature this _day of a
Tptint name of father)
Affiant
‘SUBSCRIBED AND SWORN to before me this day of at
affiant exhibiting fo me ID nos. "issued on
‘expiring on at
(Consular Officer 7
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Sores of