REPUBLIC OF THE PHILIPPINES )

CITY OF ___________________________ )S.S.

Affidavit of Admission of Paternity

I, _____________________________________, of legal age, __________________
citizen, and presently residing at ________________________________________________,
after having been duly sworn to in accordance with law, do hereby depose and say:

1. That I am the biological father of the child,

________________________________________, who was born on
____________________ at __________________________________________;

2. That at the time of birth of said child, I am not married to his mother,
_______________________________________;

3. That I hereby acknowledge and recognize my paternity/filiation to the child,

_______________________________________;

4. That I am executing this affidavit to attest to the truth of the foregoing facts and for
whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this _______________ at

_____________________________.

__________________________________________
Printed Name and Signature of the Father

SUBSCRIBED AND SWORN to before me this _______________ at

_____________________________, Affiant exhibiting to me his competent evidence of identity
by way of ___________________ issued at ______________________ on ________________.

Doc No. : ______

Page No. : ______
Book No.: ______
Series of ______