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    Affidavit of Acknowledgment of Unwed Mother

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    Amelyn Mote
    The affidavit states that Maria Dolores Villadiego Nadera is the biological mother of Zhanelle Marvey Laine Villadiego Nadera. It further states that Zhanelle's father, Christian Harvey Abadilla Nadera, is now deceased and had acknowledged Zhanelle as his daughter. The affidavit asserts that Zhanelle's name on her birth certificate should be registered as Zhanelle Marvey Laine Villadiego Nadera. Maria Dolores executed the affidavit to serve whatever legal purpose is required to change the registration of Zhanelle's name.

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    © All Rights Reserved
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    Affidavit of Acknowledgment of Unwed Mother

    Uploaded by

    Amelyn Mote
    117 views3 pages
    The affidavit states that Maria Dolores Villadiego Nadera is the biological mother of Zhanelle Marvey Laine Villadiego Nadera. It further states that Zhanelle's father, Christian Harvey Abadilla Nadera, is now deceased and had acknowledged Zhanelle as his daughter. The affidavit asserts that Zhanelle's name on her birth certificate should be registered as Zhanelle Marvey Laine Villadiego Nadera. Maria Dolores executed the affidavit to serve whatever legal purpose is required to change the registration of Zhanelle's name.

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    The affidavit states that Maria Dolores Villadiego Nadera is the biological mother of Zhanelle Marvey Laine Villadiego Nadera. It further states that Zhanelle's father, Christian Harvey Abadilla Nadera, is now deceased and had acknowledged Zhanelle as his daughter. The affidavit asserts that Zhanelle's name on her birth certificate should be registered as Zhanelle Marvey Laine Villadiego Nadera. Maria Dolores executed the affidavit to serve whatever legal purpose is required to change the registration of Zhanelle's name.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    117 views3 pages

    Affidavit of Acknowledgment of Unwed Mother

    Uploaded by

    Amelyn Mote
    The affidavit states that Maria Dolores Villadiego Nadera is the biological mother of Zhanelle Marvey Laine Villadiego Nadera. It further states that Zhanelle's father, Christian Harvey Abadilla Nadera, is now deceased and had acknowledged Zhanelle as his daughter. The affidavit asserts that Zhanelle's name on her birth certificate should be registered as Zhanelle Marvey Laine Villadiego Nadera. Maria Dolores executed the affidavit to serve whatever legal purpose is required to change the registration of Zhanelle's name.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    REPUBLIC OF THE PHILIPPINES )

    Lucena City ) S.C.

    AFFIDAVIT

    I, MARIA DOLORES VILLADIEGO NADERA, of legal


    age, Filipino and a resident of Brgy. Masin, Tayabas City,
    after having been duly sworn to according to law, hereby
    depose and state the following:

    That I am the biological mother of ZHANELLE MARVEY


    LAINE VILLADIEGO NADERA who was born on May 4, 2006
    at Lucena City;
    That in the Certificate of Live Birth of my said daughter
    issued by the Mt. Carmel General Hospital, Lucena City, her
    name appears as ZHANELLE MARVEY LAINE VILLADIEGO
    NADERA and her father is indicated as Christian Harvey
    Abadilla Nadera (now deceased) who died on March 24,
    2019 in Tayabas City;
    That when she was born, we were not yet married and
    there is no impediment for us to marry except my age and
    we got married on May 11, 2016 in Tayabas City;
    That the name of my said child should be registered in
    her Certificate of Live Birth, as ZHANELLE MARVEY LAINE
    VILLADIEGO NADERA. In fact, her father acknowledged
    her as his daughter in his father’s PhilHealth record, in her
    Progress Report Card issued by Kiddie School Early
    Childhood Leaning Center, Tayabas City and in her
    Baptismal Certificate issued by Roman Catholic Diocese of
    Lucena;
    That I attest to the truth of the foregoing and I am
    executing this affidavit for whatever legal purpose/s it may
    serve.
    IN TRUTH WHEREOF, I have hereunto signed my
    name below, this 8th day of July, 2019 at Lucena City.
    .

    MARIA DOLORES VILLADIEGO NADERA


    Affiant
    PhilHealth ID No. 02-050819172-4
    SUBSCRIBED AND SWORN to before me this 8th day of July,
    2019 at Lucena City.
    LIRIO R. MUÑOZ
    Public Attorney II
    Pursuant to RA 9406
    Doc. No.:___;
    Page No.:___;
    Book No.:___;
    Series of 2019.

    AFFIDAVIT OF ACKNOWLEDGMENT AND CONSENT TO CHANGE THE


    SURNAME OF THE MINOR PRINCE JAROLD ATIENZA
    I, ANA JOELLA PALIVINO ATIENZA, of legal age, single, Filipino
    and a resident of Brgy. I, Lucena City, after having been duly sworn
    to according to law, hereby depose and state the following:

    1. That I am the biological mother of PRINCE JAROLD ATIENZA


    who was born on NOVEMBER 15, 2013 at Quezon Medical
    Center, Lucena City

    2. That the biological father of the said child is HERMAN ARASAS


    EDAD who refused to recognize and acknowledge PRINCE
    JAROLD ATIENZA as his child;

    3. That the name of the father on the Certificate of the Father


    should be indicated as UNKNOWN instead of HERMAN ARASAS
    EDAD;

    4. That the name of my said child should be registered in his


    Certificate of Live Birth as PRINCE JAROLD ATIENZA and not as
    PRINCE JAROLD EDAD;

    5. That I am executing this affidavit for whatever legal purpose/s


    it may serve.

    IN TRUTH WHEREOF, I have hereunto signed my name below,


    this 10th day of January, 2019 at Lucena City.
    .

    ANA JOELLA PALIVINO ATIENZA


    Affiant
    Yellow Card ID No. 88-B01-02292
    SUBSCRIBED AND SWORN to before me this 10th day of
    January, 2019 at Lucena City.

    MARIA JOCELYN D. BASCUGUIN


    Public Attorney II
    Pursuant to RA 9406
    Doc. No.:___;
    Page No.:___;
    Book No.:___;
    Series of 2019.

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