Republic of the Philippines

City of Butuan ---------------X

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AFFIDAVIT OF ADMISSION OF PATERNITY

I, JOSEPH BENJAMIN E. PAUIG, of legal age, Filipino and a resident of Butuan

City, after having been duly sworn to in accordance with law, do hereby depose and
state.

That I am the biological father of ____________________, who was born out of

wedlock on _________, 2022 at _________________________________, Butuan City
to her mother “Lovely Grace B. Lontoc”.

That I hereby acknowledge the above-mentioned child as my own and he may

bear my surname “Pauig” in accordance with the will of the mother or the law;

That I am currently at work on __________, 2022. Hence, I cannot personally

appear at the City Civil Registrar’s Office, Butuan. Copy of the employment herein
attached and marked as Annex “A” for part of this Affidavit;

That this affidavit was executed in order to attest to the truthfulness of the
foregoing without undue influence from anybody but out from my own free will and
voluntary act and deed.

IN WITNESS WHEREOFF. I have hereunto set my hand this ___ day of _____,
2022 in Butuan City, Philippines.

_______________________
Affiant

SUBSCRIBE AND SWORN TO BEFORE ME this _____ day of _____, 2022 in

the City of Butuan, Philippines.

Doc No. ______;

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