Republic of the Philippines)

_________________...) S.S
x--------------------------/
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
____________ in _______________.

do

hereby

set

my

hand

this

______________________________
Affiant
SUBSCRIBED AND SWORN to before me this _____________ in
__________________. Affiant exhibited to me competent evidence of
identity (ID No. _____________________).