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REPUBLIC OF THE PHILIPPINES }

PROVINCE OF SOUTHERN LEYTE } S.S.

AFFIDAVIT OF ADMISSION OF PATERNITY

I, RITO J. ESTALANI, JR., after having been duly sworn to in accordance with law
hereby depose and say:

1. That I am single, of legal age, Filipino citizen, and a resident of A. Mabini


St., Macrohon, Southern Leyte, Philippines;

2. That sometime in October 2011, I met Mary Rose T. Bantug of legal age,
Filipino citizen and a resident of Brgy. Ibarra, Maasin City, Southern Leyte,
with whom I had a relationship;

3. That as a result of said relationship, she conceived and gave birth to a


child on August 15, 2017 and we named the child, RAEL MATTHIEU;

4. That I am the biological father of the child, RAEL MATTHIEU;

5. That at the time of the birth of said child, I am not legally married to Ms.
Mary Rose T. Bantug, her biological mother;

6. That I hereby admit under oath my paternity of the child, RAEL


MATTHIEU;

7. That I am executing this affidavit to attest to the truth of the foregoing


facts and for whatever legal purposes it may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 17th day of


August 2017 at Maasin City, Philippines.

RITO J. ESTALANI, JR.


Driver’s License No. H05-12-000213
Issued on Sept. 14, 2016 in Maasin City

SUBSCRIBED AND SWORN to before me in the City of Maasin this 17th day of August
2017 by RITO J. ESTALANI, JR., personally known to me, who is the same person who
personally signed before me the foregoing affidavit and acknowledged that he executed
the same.

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