Republic of the Philippines )

City of ) S.S
X ------------------------------ X

AFFIDAVIT OF ACKNOWLEDGMENT
I, _____________, of legal age, married, and a resident of
_________________, after having duly sworn to an oath hereby declares:

That I am the father of who was born on _________, 1992 in

___________ City;

That I and _______________, the mother of were not married at the

time that he was born;

That I was not able to acknowledge my child at the time that his birth was
registered in the Civil Registry, because I was informed at the hospital that it was
not allowed since I and _______were not yet married;

That as a consequence thereto, I am executing this Affidavit for the

purpose of acknowledging my son, and to expressly give my consent that he
would use my family name, __________, which he was already using in all his
school records and diploma and licenses;

That I am further executing this Affidavit to attest to the truth of the

foregoing facts and for whatever legal purposes and intents this may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this

____________________, Philippines.

ML Digz
Affiant

Signed in the presence of:

SUBSCRIBED AND SWORN TO BEFORE me this _____, at

______, Affiant presented to me his Office ID issued by ____________
bearing numbers ___________ as his competent evidence of identity.