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+++++++++REPUBLIC OF THE PHILIPPINES) DONE: IN THE CITY OF BAGUIO) S.S. AFFIDAVIT TO USE THE SURNAME OF FATHER I, JERRY P.

GINEZ, of legal age, single, Emirates Citizen, with residence and postal address at No. 151 Mangcasuy, Binalonan, Pangasinan, Philippines after having been duly sworn to in accordance with law hereby depose and state that: 1. I am the natural father of KING JAMES ABENOJA and her natural mother is VANISA A. ABENOJA; 2. Said KING JAMES ABENOJA was born on June 10,2011 at Baguio City, Philippines; 3. I hereby acknowledge that said child was born out of my relationship with VANISA A. ABENOJA; 4. Being the natural father, I hereby give my consent to put my surname GINEZ, as the natural father of said child and to use the same as KING JAMES A. GINEZ and give all my conformity for said child to be considered as my own natural child; 5. I hereby undertake to help in the support of my said child in her financial, material, social and spiritual needs; 6. I am executing this affidavit in order that in all her records, my name as the natural father will appear and for all legal intents and purposes that it may serve. IN WITNESS WHEREOF, I have hereunto set my hand this 8 th day of July, 2011, at Baguio City, Philippines.

JERRY P. GINEZ Affiant POSTAL ID No. 6351421 Valid Until 3-25-2013 Conforme: VANISA A. ABENOJA Mother SUBSCRIBED AND SWORN to before me this 8th day of July, 2011 at Baguio City, Philippines. Affiant personally signed the foregoing affidavit before me and acknowledged that he executed the same: Doc. No. 434; Page No. 088; Book No. I;

Series of 2011.

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