Republic of the Philippines }

_____ } s.s.

AFFIDAVIT OF ADMISSION OF PATERNITY

I, ______, of legal age, Filipino, and a resident of ______, after having been
duly sworn on oath in accordance with law hereby depose and state that:

1. I am the father of ______ who was born on ______ at ______;

2. Her biological mother is ______;
3. At the time of her birth, her mother and I were not married. ______ is an
illegitimate child;
4. I hereby acknowledge that I am the father of ______ and that the same be
reflected in her Certificate of Live Birth;
5. I hereby executed this affidavit to affirm the veracity of the foregoing
statements and admit the foregoing facts for whatever legal purpose it may
serve.

IN WITNESS WHEREOF, I have hereunto set my hands this ______ at

______.
______________________

Affiant

SUBSCRIBED AND SWORN to before me, a notary public in and for

______, affiant appearing before me with his/her competent evidence of identity and
presenting to me the above document, and who signed the said document in my
presence and sworn as to said document that he/she understood the contents thereof
and that the same was his/her free and voluntary act and deed.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed my

notarial seal this ______ at ______.