Republic of the Philippines)
Province of Lanao del Sur ) S.s.
Municipality of Wao )
AFFIDAVIT OF OUT TOWN REGISTRATION
I, ________________, Filipino, of legal age, married, and a
resident of ___________________, after having been duly sworn to in
accordance with law, do hereby depose and say:
1. That I was born on __________ at ____________;
2. That the fact of my birth has not been registered in the Local Civil
Registry of __________ or any other Local Civil Registry up to the
present;
3. That due to the illiteracy of my parents, it is only now that I seek
the registration of the facts of my birth;
4. That due to the distance between ____________and
______________, it would be impractical and burdensome if I
purposely go to ________ when I can cause the registration of my
Birth as migrant filer under existing laws;
5. That I execute this affidavit to attest to the truthfulness of the
foregoing statement and for whatever worth this may serve best.
IN WITNESS WHEREOF, I have hereunto affixed my signature
this 26th day of July 2017 at _________________, Philippines.
__________________
Affiant
SUBSCRIBED AND SWORN to before me this 26th day of July,
2017 at ______________, Philippines. Affiant having exhibited to me
her __________, and who signed this affidavit in my presence and
sworn as to said document that she understood the contents thereof
and that the same is her free act and deed.
NOTARY PUBLIC