AFFIDAVIT ON ILLEGITIMACY OF CHILDREN

I, ___________________________________, citizen of the Philippines,

of
legal
age,
single/married,
presently
residing
at
_______________________________________________, after having been
duly sworn in accordance with law, do hereby depose and state:
1. That
I
am
the
natural/biological
mother
of
___________________________________, who was born on
_________________________ in ___________________________;
2. That _________________________ is the biological father/mother of
my child;
3. That I was never married to the biological father/mother of my child;
4. That I therefore declare that my said child was born illegitimate;
5. That I am executing this Affidavit for all legal intents and purposes;
IN WITNESS WHEREOF, I have hereunto signed my name this _____day
of _________ 2012 at the Philippine Embassy, Vienna, Austria.

________________________________
Signature of Affiant
x---------------------------------------------------------------------------------------------------------------------x
EMBASSY OF THE PHILIPPINES
VIENNA, AUSTRIA
SUBSCRIBED AND SWORN TO BEFORE ME this _________________________, affiant
exhibiting to me her/his Philippine Passport No. ___________________ issued on
____________________________ in VIENNA, AUSTRIA.

DOC. No._________
PAGE No._________
BOOK No. VII
Series of 2012
SERVICE No. _____
O.R. No. __________
DATE ____________
FEE: 22,50EUR