5/21/2018 AffidavitofSolo ParentTemplate-slidepdf.

com

REPUBLIC OF THE PHILIPPINES )

QUEZON CITY ) S.S.

AFFIDAVIT OF SOLO PARENT

I, _____, a Filipino citizen of legal age, married , residing at _____, after being
sworn to in accordance with law, depose and say that:

1. On _____, I was married to ____ in a civil wedding ceremony in _____;

2. During our relationship, we were blessed with _____;

3. I was left alone with the responsibility of parenthood due to _____ on _____;

4. I am executing this Affidavit to attest to the foregoing facts and for the purpose of
securing a Solo Parent ID and to receive the benefits under the Solo Parents’
Welfare Act of 2000.

IN WITNESS WHEREOF
, I have hereunto set my hand this ____ day of _____ in
Quezon City Philippines.

 __________________
 Affiant

SUBSCRIBED AND SWORN TO before me this _____ day of _____ in _____,

Philippines, affiant exhibiting to me her competent evidence of identity by way of _____,
bearing I.D. No. _____, with both her picture and signature appearing therein.

 _____________________
 Administering Officer

Pursuant to R.A. 9406

http://slidepdf.com/reader/full/affidavit-of-solo-parent-template 1/2
5/21/2018 AffidavitofSolo ParentTemplate-slidepdf.com

http://slidepdf.com/reader/full/affidavit-of-solo-parent-template 2/2