Affidavit to Use the Surname of the Father



I_________________, of legal age, single/married/widow, Filipino citizen, and presently residing at _____________________, after having been duly sworn to in accordance with law, do hereby depose and say:

  1. That I am the biological father of _________________.
  2. That the biological mother of the child is _________________.
  3. That my child _________________ was born on __________ ____, _____ at _________________.
  4. That the facts of birth of my child were duly registered at the Office of the __________ Civil Registrar.
  5. That I, _________________ being the father of _________________, hereby acknowledged and recognized him as my child and legal heir.
  6. That I am allowing my child _________________ to use my surname _________________ to be his surname in his Certificate of Live Birth.
  7. That I execute this affidavit to attest to the truth of the above facts in compliance with the provisions of Republic Act No. 9255.

IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of ___________ 20____ in ____________, _____________, Philippines.