REPUBLIC OF THE PHILIPPINES
QUEZON CITY
) s.s
AFFIDAVIT OF SOLO PARENT
l, MA. THERESA E. RAMOS, of legal age, Filipino, with residence and postal address at Block 1
Lot 5 Phase 6 Roque 1, Barangay Pasong Tamo, Quezon City, after having been duly sworn to in
accordance with law, do hereby depose and says:
1. That I am the legitimate mother of the following children namely:
Ma. Christine R. Indog Date of Birth : August 20, 2012, Quezon City, Philippines
Ma. Cathryn Ramos Date of Birth : August 19, 2019, Quezon City, Philippines
2. That the aforesaid children are under my care and custody since their birth;
3. That their biological father left me sometime and I have not heard from him nor his whereabouts
for almost three years and I have remained to be the sole custodian of our children;
4. That I stand as the sole parent to my children giving them love, care, guidance and providing their
basic necessities such as food, clothing, medicine, etc.;
5. That I execute the foregoing affidavit in order to attest the truth of the above facts for whatever
legal intents and purposes it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand and affix my signature this ______ day of
_____________, 2022 in Quezon City
SUBCRIBED AND SWORN to before me this ________,_of ____________,2022 in Quezon
City affiant exhibited to me her Competent Evidence of Identity bearing her picture and
signature with UMID No. 01118062155-7 issued by Social Security System, Quezon City.
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Book No.
Series of 2022