est 3008/0n oF eer 3 Augunt 888 v
PAIDAVIT OF ACKNOWLEDGMENTIADMISSION’ OF PATERNITY
ven, Searle Wacbamua Denonta \ = gng_Maribel Cabogvason Singeon
parentsfparent of, the, child mentioned in this Certificate of Live. Birth, do hereby solemnly swear that the
imation oh ere true and corect to the best-of cieday Tele lief
olf ~4Y
CHARLIE MAGBANUA-DENOSTA . MARIBEL CABGOASCN SIFGSOH
(Sonata ot Fey Banatoe of Meee
Commmity Tax ni GASP IP _
Date Isival__ FOP
Trace bned_ PRUE
> Philippines.
ATTY. ALVIN V. GaBaNZe
i ee
Cig et hain (ies aaa whe 21 20
. PIR ND. 3133888 (1-12-29
422-855
(Name ta Print) (dcicirene)
Not opplicable for biiths betore 27 February 1931
< AFFIDAVIT FOR: DELAYED REGISTRATION OF BIRTH
(ther Aa passes inwell 16 year ab cr ver, ot fathar/mother/ardiin may aocomplch dk alavit)
1, —_Shartie'Maghamaa Denosta | of legal-age, single/mucried
and! with fesidence and. postal address a LOwor Barangay, SAV=1, Parsnaque &ty———_______,
after having bein duly swom to if accotdance with lave, do hereby depose and say:
‘That Iam’ the applicant for the delayed registeation “of my birth/of the birth of
__Geddo Singeon Denosta _____.
‘That I/he/she was born on_fugnat 22, 1996 ___ Paranagee City
That I/he/she was attended at birth by Traditions] Mdwife Whe resides at
ee pete Sibramedus Gaty ne Set
‘hat Vhe/ahe Boa lien of tha Fhtisppings ¢
That my/his/her parents were [7] married on a
: [Dp tet naire hat was acknontedge by my7his7her father whose
name is :
‘That the reason for ‘the delay in registering my/his/her birth was duc to_Megl4genee
“Weopy of my/lis/her birth cerlificate 6 needed lor. the. purpose of _Saemtifient
‘That a copy of my/his/her birth certificate 1 needed for the purpose of uti eiention
(21 Wer the opplicane only) That Pam murcied to Maribel Cobogugoon Singoon
[F], (for the father /mother/guardian), That. am the of the said person.
r
CHARLIE IA DINOSTA
~ Spaature of Aan
Coammurity ax No, CORLEY.
Date Issued F703 OF
Phoe bsued ie
2 T718D ng
‘SUBSCRIBED AND SWORN ta before me this
: 420
jsaeee (142-20,
tye Paegs