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Affidavit of Attendant at Birth

This affidavit from a doctor certifies that they attended the birth of a baby born to a patient. The doctor states that they personally attended to the patient and assisted with the (normal/cesarean) delivery of a baby boy/girl. The baby was named [NAME]. The doctor executed this affidavit to attest to the truth of these facts for legal purposes.

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ddccharisma.2002
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1K views1 page

Affidavit of Attendant at Birth

This affidavit from a doctor certifies that they attended the birth of a baby born to a patient. The doctor states that they personally attended to the patient and assisted with the (normal/cesarean) delivery of a baby boy/girl. The baby was named [NAME]. The doctor executed this affidavit to attest to the truth of these facts for legal purposes.

Uploaded by

ddccharisma.2002
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Republic of the Philippines )

_____________________ ) S.S.
x-----------------------x

AFFIDAVIT OF ATTENDANT AT BIRTH


I,Dr. ____________________________ , Filipino, of legal age, (single /
married /widow), and a resident of _________________________________________
_______,Philippines, having been duly sworn in accordance with law, hereby depose
and state:

That I am a duly-license medical doctor, practicing at __________________


__ (Hospital/Clinic) with Professional License No. ___________________ issued on _
___________________ at ______________________;

That on or about ______________(time) of ________________(date),


Ipersonally attended to a patient named __________________________________
ingiving birth by (normal delivery/caesarian section) to a baby (boy/girl) whom they
namedas ______________________________;

That I execute this Affidavit to attest to the truth of the foregoing facts
and for anyother legal purpose that this Affidavit may serve.

IN WITNESS WHEREOF, I have hereunto set our hands this ______________


_in __________________, Philippines.

_________________________
Affiant

SUBSCRIBED AND SWORN to before me, this _________________, by the


Affiant whom I have identified through competent evidence of identity and who
exhibitedhis/her _______________________________.Doc. No. ______;Page No. ____
__;Book No.______;Series of 20___.

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