REPUBLIC OF THE PHILIPPINES)

CITY
OF
DAVAO
) S.S.
X-------------------X
Registry No. __________
AFFIDAVIT OF ADMISSION OF PATERNITY
I, REYNALDO S. BAULA, of legal age, Filipino, ______, and a resident of
Davao City, Philippines, after having been duly sworn to in accordance with law, do
hereby depose and say:
1.
That I am the natural and biological father of IVY C. BERALDE, who
was born March 14, 1997 at Davao Medical Center, Davao City, Philippines;
2.
BERALDE;

That my child was born out of wedlock and her mother is ARACELI

3.
That I am executing this affidavit in order to inform the authorities
concern on the truth of the foregoing facts and for whatever legal purpose this may
serve best;
IN WITNESS WHEREOF, I have hereunto set my hand this ___ day of June,
2014 at Davao City, Philippines.

REYNALDO S. BAULA
Affiant
SUBSCRIBED AND SWORN to before me this ___ day of June, 2014 at Davao
City, Philippines.
Doc. No. ____;
Page No. ____;
Book No. ____;
Series of 2014.
Republic of the Philippines
OFFICE OF THE CITY CIVIL REGISTRAR
City of Davao
Registered this ____day of ____________ after payment of corresponding
fee of __________ under O.R. No. ______________ and entered in the Register of
Legal Instruments (Admission of Paternity) Page ____________, Book No.
________, Reg. No. _______________________.