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    Affidavit To Use The Surname of The Father

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    Jay Brion
    1. Jaynies D. Brion executed an affidavit allowing his biological daughter Cyrene, born on June 28, 2010 in Quezon City to the mother Cheryll G. Maghirang, to use his surname "Brion" and be known as Cyrene M. Brion. 2. Brion acknowledges and recognizes Cyrene as his biological child and legal heir. 3. The affidavit was signed on July 11, 2010 in Quezon City to comply with the provisions of Republic Act No. 9255 and attest to the truth of the facts stated.

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    Affidavit To Use The Surname of The Father

    Uploaded by

    Jay Brion
    15K views1 page
    1. Jaynies D. Brion executed an affidavit allowing his biological daughter Cyrene, born on June 28, 2010 in Quezon City to the mother Cheryll G. Maghirang, to use his surname "Brion" and be known as Cyrene M. Brion. 2. Brion acknowledges and recognizes Cyrene as his biological child and legal heir. 3. The affidavit was signed on July 11, 2010 in Quezon City to comply with the provisions of Republic Act No. 9255 and attest to the truth of the facts stated.

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    Affidavit to Use the Surname of the Father

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    1. Jaynies D. Brion executed an affidavit allowing his biological daughter Cyrene, born on June 28, 2010 in Quezon City to the mother Cheryll G. Maghirang, to use his surname "Brion" and be known as Cyrene M. Brion. 2. Brion acknowledges and recognizes Cyrene as his biological child and legal heir. 3. The affidavit was signed on July 11, 2010 in Quezon City to comply with the provisions of Republic Act No. 9255 and attest to the truth of the facts stated.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    15K views1 page

    Affidavit To Use The Surname of The Father

    Uploaded by

    Jay Brion
    1. Jaynies D. Brion executed an affidavit allowing his biological daughter Cyrene, born on June 28, 2010 in Quezon City to the mother Cheryll G. Maghirang, to use his surname "Brion" and be known as Cyrene M. Brion. 2. Brion acknowledges and recognizes Cyrene as his biological child and legal heir. 3. The affidavit was signed on July 11, 2010 in Quezon City to comply with the provisions of Republic Act No. 9255 and attest to the truth of the facts stated.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    REPUBLIC OF THE PHILIPPINES

    City Civil Registry Office


    Quezon City, Metro Manila

    AFFIDAVIT TO USE THE SURNAME OF THE FATHER

    I, Jaynies D. Brion, of legal age, Filipino, with postal and residence address at # 290 Brgy. San
    Buenaventura, San Pablo City, Laguna, after having been duly sworn to in accordance with law
    hereby depose and say:

    1. That I am the biological father of Cyrene;

    2. That the biological mother of my child is Cheryll G. Maghirang;

    3. That my child Cyrene was born on June 28, 2010 at Quezon City;

    4. That I Jaynies D. Brion, being the father of Cyrene hereby acknowledge and recognize
    her as my child and legal heir;

    5. That I am allowing my child Cyrene to use my surname, Brion to be her surname and
    shall be known as Cyrene M. Brion.

    6. That I am executing this affidavit to attest to the truth and veracity of the foregoing facts
    and for whatever legal intents and purpose it may serve, in compliance with the provision
    of Republic Act No. 9255.

    IN WITNESS WHEREOF, I have hereunto affixed my signature this 11 th day of July 2010 at
    Quezon City, Metro Manila.

    Conforme:

    _________________________ _________________________
    Cheryll G. Maghirang Jaynies D. Brion
    Mother Affiant/Father

    SUBSCRIBED AND SWORN TO before me this _______________ day of _______________


    at Quezon City, Metro Manila affiants exhibiting to me his Community Tax Certificate No.
    03645377 issued on 9th July 2010 at Novaliches, Quezon City.

    Doc. No.
    Page No.
    Book No.
    Series of 2010

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