REPUBLIC OF THE PHILIPPINES)

__________________________________) S.S.

AFFIDAVIT OF KINSHIP

I, __________, Filipino, of legal age, and a resident of _______, after being

sworn in accordance with law, hereby depose and state that –

1. I am the descendant and next of kin of _____;

2. My father, ______, is the son of ______alang, who is one of the children

of _______;

3. This affidavit is made in support of the application and/or request for

death and/or birth records and for any related purpose it may serve;

4. I am executing this affidavit to attest the truth and veracity of the

foregoing statements and for all legal intents and purposes it may serve.

Affiant sayeth naught.

IN WITNESS WHEREOF, I have hereunto affixed my signature this

_______________________ at ______

______________
Affiant

SUBSCRIBED AND SWORN to before me, this ___________________ at

______, affiant exhibiting to me his _____, bearing his photograph and signature as
competent evidence of his identity.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2023.