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REPUBLIC OF THE PHILIPPINES)

CITY OF MAKATI

) S.S.

x-------------------------------------x

AFFIDAVIT OF ILLEGITIMACY

I, MARIA B. DELA CRUZ, of legal age, Filipino, single and a resident of


2222Washington Street, Pio del Pilar, Makati City, after having been duly
sworn to in accordancewith law, depose and state:

1. That I am a the mother of Juan Dela Cruz who was born in Davao
City on October 5, 2006 as evidenced by the attached Birth
Certificate issued by the local civil registrar of Davao City;

2. That my son Juan Dela Cruz was born out of wedlock;

3. That I am not legally married to his father who I no longer have any
contact with;

4. That I am executing this affidavit to attest to the above facts and to


confirm the illegitimate status of my child;

5. That I am further executing this affidavit to comply with the


regulations of the Philippine authorities in connection with his travel
to Japan and for all legal purposes and intents beneficial to my
child.

IN WITNESS WHEREOF, I have hereunto set my hand this 29th day of


August 2013 in Makati City, Metro Manila, Philippines.
MARIA B. DELA CRUZ
Affiant
Voter's ID No. 5555

SUBCRIBED AND SWORN TO before me this 29th day of August 2013 in


Makati City, Metro Manila, Philippines, affiant exhibiting to me her valid proof
of identification.

ATTY. MAE ANN Y. BADUA


Notary Public

Notarial Commission No.331-2018


Roll No. 071015
PTR No.7313108, 1/3/18
IBP No. 785625, 1/2/18
BADUA-AGUILAR & Associates
Alviar Tower Building
Baguio City, Philippines

Doc. No. 1;
Page No. 2;
Book No. 3;
Series of 2018.

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