AFFIDAVIT OF ILLEGITIMACY
I, ____________________________________________, of legal age,
single/married/widow, citizen of ______________________ and presently residing at
_________________________________________________________________, after
having been duly sworn to in accordance with law, do hereby depose and say:
That I am the mother of ____________________________________ who was
/were born on ______________________ at ___________________________;
That my son/daughter/children, ______________________________________,
was/were born out of wedlock ;
That I am not married with his/her/their father since he is already married;
That I have no communication with his/her/their father and has no information
about his whereabouts;
That I am executing this affidavit to attest to the above facts and to confirm the
illegitimacy of my son/daughter/children;
That I am further executing this affidavit to comply with the regulations of the
Philippine authorities in connection with his/her/travel to _______________.
IN WITNESS WHEREOF, I have hereunto set my hand this ___________
at __________________________, Canada.
_______________________
(Affiant)
Signed in the presence of: ____________________ ____________________
at the Philippine Consulate General, San
Toronto, Ontario,
Francisco, Canada
California