Republic of the Philippines )
Magalang, Pampanga                              ) S.S.
x---------------------------------------------x
                                     AFFIDAVIT OF BIRTH
      I, (NAME), of legal age, Filipino, (civil status) and a resident of
(address), after having been duly sworn to in accordance with law, depose
and state:
    1. I was born on (date), in (place), to spouses (mother’s name) and
       (father’s name);
    2. This is supported by numerous authentic documents attached in this
       affidavit; and I hereby certify that the foregoing statements are
       correct.
    3. I therefore have executed this Affidavit to attest to the truth I
       mentioned herein and for whatever legal purposes it may serve.
    IN WITNESS WHEREOF, I have hereunto set my hand this 28th day of
    April 2025 in San Pablo, Magalang, Pampanga, Philippines.
                                    (NAME OF THE AFFIANT)
                                           Affiant
                                    Identification Card No. (#)
                                   valid until (Date) if applicable
    SUBSCRIBED AND SWORN TO before me this 8th day of April 2025 in
    San Pablo, Magalang, Pampanga, Philippines, affiant exhibiting to me his
    competent evidence of identity indicated below his above-stated name.
    Doc. No. ____;
    Page No. ____;
    Book No. ____;
    Series of 2025.