REPUBLIC OF THE PHILIPPINES )

QUEZON CITY)

AFFIDAVIT OF ACKNOWLEDGMENT / PATERNITY

I, Michael P. Cabilan, of legal age, with postal and residence at No.

271 Infantry Road Veterans, Village Quezon City, after having been duly
and sworn to in accordance with law hereby depose and say:

1. That I am biological father of our child KEITH BYRON MESIAS;

2. That the biological mother of my child is MANISA R. MESIAS;
3. That my child KEITH BYRON MESIAS was born on 27 September
2023, at Quezon City;
4. That I Michael P. Cabilan, being the father of my child Keith Byron
Mesias, hereby acknowledge and recognize him my child and
legal heir.
5. That I am allowing my child Keith Byron Mesias, to use my
surname and shall be known as Keith Byron Mesias Cabilan.

6. That I am executing this affidavit to attest to the truth and veracity

of the foregoing facts and for whatever legal intents and purpose it
may serve;

IN WITNESS WHREOF, I have hereunto affixed my signature this

____ day of__________, 2023, at Quezon City, Metro Manila.

MICHAEL P. CABILAN
Affiant/Father

SUBSCRIBED AND SWORN TO before me this ______ day of

______ 2023, Quezon City, Metro Manila affiant exhibiting to me
his __________________________ as proof of his identity.
REPUBLIC OF THE PHILIPPINES )
QUEZON CITY)

AFFIDAVIT TO USE SURNAME OF FATHER

I, KEITH BYRON MESIAS, of legal age, with residence address at No.

271 Infantry Road, Veterans Village, Quezon City, after having duly and
sworn in accordance with law hereby depose and say:

1. I am seeking to use the surname Michael P. Cabilan in my Certificate

of Live Birth.

2. I was born on 23 September 2003 at No. 359, AFP Road Codner,

Guerilla Holy Spirit Quezon City, as appearing in the Philippines
Statistics Authority Certificate of Live Birth.

3. My birth was recorded under Registry No. ________________.

4. I hereby certify that the statements made herein are true and correct
to the best of my knowledge.

KETIH BYRON MESIAS

Affiant

IN WITNESS WHEREOF, I Hereby affix my signature on _____ day

______ 2023 at Quezon City.

SUBSCRIBED AND SWORN to before me this ____ day of ______

2023 in Quezon City. I certify that I personally examined the affiant
and that he voluntarily executed the foregoing affidavit and
understood the contents thereof.