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Republic of the Philippines )

Ipil, Zamboanga Sibugay Province) S.S


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

AFFIDAVIT OF ACKNOWLEDGEMENT OF PATERNITY

I, FREEMAN SIDEÑO y TOLOSA , 58 year old, Filipino Citizen and presently


residing at Barangay Paco, Kidapawan City, South Cotabato, after having been duly
sworn to in accordance with law, do hereby depose and say that:

I am the biological father of the child, MARK DAVID B. RONDINA (MARK


DAVID R. SIDEÑO who was born on August 10, 1988 in Isabela District Hospital,
Negros Occidental;

At the time of the said child, I was not married to the said child's biological
mother;
ARACELI BARRO RONDINA;

I hereby acknowledge my paternity/filiation to the child;

I am giving my consent for the child to use my surname and for my surname to
be reflected in the child's birth certificate;

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 ______ day of


_________________ at the Ipil, Zamboanga Sibugay.

FREEMAN SIDEÑO y TOLOSA


Name and Signature of the Father

CONFORME:

ARACELI BARRO RONDINA


Name and Signature of the Mother

SUBSCRIBED AND SWORN to before me this day of


_____________________________ at Ipil, Zamboanga Sibugay, Philippines, the
Affiant showing the competent evidence of identity issued at
___________________________ on _______________________. I certify that I
personally examined the Affiant and the latter voluntarily executed the foregoing
Affidavit and understood the contents thereof.

Doc. No.: _______________


O.R. No.: _______________
Book No.: _______________
Series of: _______________

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