REPUBLIC OF THE PHILIPPINES)
CITY OF ILOILO ) S.S.
AFFIDAVIT OF MOTHER
I, JUDAY S. SANTOS, of legal age, Filipino, single and a resident of Balabago, Jaro, Iloilo City, after having been duly sworn to in accordance with law, depose and state:
1. That I am the LEGITIMATE mother of RYAN SANTOS who was born last June 25, 2013 in Tacloban City;
2. That I am very much willing to allow my child RYAN SANTOS to use the surname of the father for whatever legal purpose his birth be used;
3. That I am executing this affidavit to attest to the truth of the following facts in accordance with RA 9255.
IN WITNESS WHEREOF, I have hereunto set my hand this 29th day of August 2013 in Iloilo City, Philippines.
JUDAY S. SANTOS
Voter's ID No. 5555
SUBCRIBED AND SWORN TO before me this 29th day of August 2013 in Iloilo City, Philippines, affiant exhibiting to me her valid proof of identification.
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2013.
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