REPUBLIC OF THE PHILIPPINES)

CITY OF CEBU          ) S.S.

x--------------------------------------x

AFFIDAVIT OF LATE REGISTRATION OF BIRTH

I, AAAAAAAAAAAA, of legal age, Filipino, single and a resident of Cebu City, Cebu,
after having been duly sworn to in accordance with law, depose and state THAT:

1. I am the father of BBBBBBBBBBBBBBB;

2. He was born on 17 February 2020 at Cebu City;

3.  I was delayed in registering his birth for the reason that I reported back for work
and due to this COVID19 Pandemic I was not able to process the registration of his
birth;

4. I, together with my live in partner, the child’s mother, CCCCCCCCCCCCCCC,

would like to apply for the delayed registration of the birth of our son;

5. I am executing this affidavit to attest to the truth and veracity of the foregoing facts
and in compliance with the requirements of the Philippine Civil Registrar.

IN WITNESS WHEREOF, I have hereunto set my hand this 07 August 2020 in Cebu
City, Philippines.

AAAAAAAAAAAA
Affiant
UMID ID no. 111111111111111111

SUBCRIBED AND SWORN TO before me this 07 August 2020 in Cebu

City, Philippines, affiant exhibited to me his competent proof of identity as above mentioned.

Doc. No. 111;

Page No. 222;
Book No. 333;
Series of 2020.