Ww CONSULATE GENERAL OF THE REPUBLIC OF THE PHILIPPINES
OSAKA
a
Registry Number: AAP-OS-__-2020
AFFIDAVIT OF ADMISSION OF PATERNITY
BAB e HRA)
L of legal age,
8 ins ie — eine
with residence at it
ERT anoess
do hereby solemnly swear that I am the father of the child mentioned in the certificate
ER, RE SAAHL AARC RM ENRFRORMTHSEL CERRO ET,
of live birth and named therein as,
FRORRGRaTO
Bom on sat ;
FRORE Aiemurs uation Wiiace orm
to Filipino mother
BAO Flioacorsonan
AFFIANT FURTHER SAYETH NAUGHT.
Be E ® &® & > Fe ky
SIGNATURE OF FATHER
RROBE
PRINTED NAME OF FATHER (ROMAT)
eemmrenseAL RRO (mF) ETRE
‘NAME OF FATHER (RANT)
HOE CRF)
Be (ae
SUBSCRIBED AND SWORN to before me this __in Osaka,
LEO, MORMIBUT. FHACHELE FROAM oA
Japan, affiant exhibiting his passport No. issued on
WAR, KBB, MOAR hEMRLT. TO
at
To) TF
Doe. No
Page No. Comal
Book No.
Service No,
Seres of» 2020
Feepaid ; 73,250
OR.No,