Affidavit: CAYABYAB Born On June 11, 2017 at The Salvador General Hospital

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REPUBLIC OF THE PHILIPPINES )

CAMILING, TARLAC ) S.S

AFFIDAVIT
I, JOSEPH LOPEZ CAYABYAB, 43 years old, Filipino citizen, married, and
a resident of Barangay Sinilian 1st, Camiling, Tarlac, Philippines, after having been
duly sworn to in accordance with law, do hereby depose and state THAT:

1. I am the mother of CHRISTINE YACAS CAYABYAB (Christine, for


brevity), who was born on July 17, 2000;

2. Christine despite being a minor begot a child named ZACK ALEXANDER


CAYABYAB born on June 11, 2017 at the Salvador General Hospital,
Camiling, Tarlac;

3. Christine voluntarily acknowledges that Zack Alexander is her own son


and she desires to have his birth be registered before the Local Civil
Registry of Camiling, Tarlac;

4. However, since she is still a minor, she could not possibly do so without
my parental assistance and concurrence to such intended act;

5. I am executing this affidavit as a manifestation that I gave my parental


guidance and approval to my minor daughter Christine to acknowledge
her son and have such birth be properly recorded before the Local Civil
registry of Camiling, Tarlac;

6. Finally, I am executing this Affidavit to attest to the truth of the foregoing


statements and for whatever legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 27th day


of June, 2017 at Camiling, Tarlac, Philippines.

JOSEPH L. CAYABYAB
Affiant

SUBSCRIBED AND SWORN to before me on the date and place indicated


above. Affiant exhibited before me his Philippine Passport with Number
EC3215106 issued by the Department of Foreign Affairs Office, Pampanga,
Philippines, valid until January 19, 2020.

Doc. No.:______;
Page No.:______;
Book No.:______;
Series of 2017.

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