REPUBLIC OF THE PHILIPPINES)
CITY OF ILOILO ) S.S.
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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
Affiant
Voter's ID No. 5555
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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.