Republic of the Philippines)

Cebu City ) S.S

AFFIDAVIT OF ADMISSION OF PATERNITY

I, ________________________, of legal age, single/married, Filipino and a

resident of __________________________, after having been duly sworn to in accordance
with law, do hereby depose and state that:

1. I am the biological father of the child named ____________________ who was

born outside of wedlock on _______________ at _________________________;

2. At the time of the conception of my child, I was not legally married to his/her
biological mother named ___________________;

3. I hereby admit under oath the paternity of the child ________________.

He/she shall henceforth bear my surname ________________ in his/her Birth
Certificate, School Records and other legal undertakings to read as ( NAME
OF CHILD AND ADD SURNAME OF FATHER ) and be entitled to all the
rights of an acknowledged child/legal heir pursuant to R.A. 9255; And,

4. I am executing this Affidavit to establish the truth of the foregoing facts and
circumstances and for whatever legal purpose this may serve.

IN WITNESS WHEREOF, I do hereby set my hand this ____________ in

_______________.

______________________________
Affiant

SUBSCRIBED AND SWORN to before me this _____________ in

__________________. Affiant exhibited to me competent evidence of identity (ID No.
_____________________).

Doc No.: _____;

Page No.: _____;
Book No.: _____;
Series of 2024.