REPUBLIC OF THE PHILIPPINES

REGIONAL TRIAL COURT

THIRD JUDICIAL REGION
BRANCH __,
City of San Fertnando, Pampanga
PETITION FOR ADOPTION OF MINOR
AAA
SP. PROC. No. _____________
AA and
BB,
Petitioners.
x -------------------x

PETITION
Petitioners, thru counsel, unto this Honorable Court
most respectfully state:
1. That petitioners are AA and BB, Filipino Citizens, both
of legal age, spouses and with residence at
______________________, where they may be served
with the processes of this Honorable Court;
2. That the petitioners were married on _______________
at ________________, this fact is evidenced by their
Certificate of Marriage, a copy of which is attached
herein as Annex A;
3. That the herein petitioners desire to adopt AAA, born
on _____________, a copy of the Certificate of Live
Birth of minor AAA is attached herein as Annex B;
4. That petitioner BB gives his consent to the adoption
of the subject minor. This fact is evidenced by the
Affidavit of Consent of petitioner BB, a copy of
which is attached herein as Annex C;
5. That the subject minor hereby gives her consent to
the adoption and the legal implications of the
adoption were explained to her. This fact is
evidenced by the Affidavit of Consent of AAA, a
copy of which is attached herein as Annex D;

6. That the subject minor has no real properties except

for some personal effects;
7. That the subject minor is physically fit to be adopted
by the petitioners. This fact is evidenced by the
medical certificate, a copy of which is attached
herein as Annex E;
8. That the subject minor possesses all the
qualifications and none of the disqualifications for
her to be adopted by the herein petitioners;
9. That the herein petitioners possess all the
qualifications and none of the disqualifications to
adopt the subject minor;
10. That the herein petitioners are in possession of full
civil capacity and legal rights to adopt the subject
minor;

11. That the petitioners have not been convicted of

any crime involving moral turpitude. This fact is
evidenced
by
the
______________________________________
which
are
attached herein as Annexes J, K, L,M ;
12. That the herein petitioners are physically,
mentally,
psychologically,
emotionally,
and
financially qualified to adopt the said minor, this fact
is evidenced by the medical certificate issued to the
petitioners, copies of which are attached herein as
Annexes S and T respectively;
13. That prior to the filing of the instant petition, a
social worker has been assigned to the subject
adoption and he has prepared the Child and Home
Study Report which are attached herein as Annex
X.
14. This petition will serve the best interest and wellbeing of the subject minor.

PRAYER
WHEREFORE, petitioners pray that after due notice,
publication, and hearing, this petition for adoption be
granted and:
a. Declaring the minor to be the daughter of the
petitioners by adoption; and
b. That the last name of AAA be changed to _____, which is
the surname of the petitioners.
Other reliefs just and equitable are prayed for.
Manila, June 24, 2011