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    Affidavit To Use The Surname of The Father - FRAYCO

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    Eric Matias
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    Affidavit To Use The Surname of The Father - FRAYCO

    Uploaded by

    Eric Matias
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    NEW

    Original Title

    Affidavit to Use the Surname of the Father -FRAYCO

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    Affidavit To Use The Surname of The Father - FRAYCO

    Uploaded by

    Eric Matias
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    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    of 1

    REPUBLIC OF THE PHILIPPINES)

    CITY OF SILAY ) S.S.


    x --------------------------------------- x

    AFFIDAVIT TO USE THE SURNAME OF THE FATHER

    I, VINCY SUPLICO ABADA, of legal age, Filipino, and a resident of Hda.


    Cudangdang, Brgy. Cudangdang, E.B. Magalona, Negros Occidental, Philippines,
    after having been duly sworn to in accordance with law hereby depose and say:

    1. That I am seeking to use the surname FRAYCO in the Certificate of


    Live Birth/Report of Birth of JACYL ABADA FRAYCO, who is my minor child, and
    also minor child of JASON JIMENA FRAYCO.

    2. That the said subject minor child, JACYL ABADA FRAYCO, was born
    on January 14, 2017 at Teresita L. Jalandoni Provincial Hospital, Silay City, Negros
    Occidental, Philippines, thru the aid of a “DOCTOR” named ____________________,
    M.D.

    3. That the birth was recorded under Registry No.


    on . (not yet registered)

    4. The Affidavit of Admission of Paternity or the Private Handwritten


    Instrument was recorded under Registry No. on at
    the Local Civil Registry Office (LCRO)/Philippine Foreign Service Post (PFSP) of
    Silay City, (not yet registered)

    5. I am filing this AUSF at the LCRO/PFSP OF Silay City, Negros Occidental,


    Philippines in accordance with R.A. No. 9255 and its Revised Implementing Rules
    and Regulations.

    6. That I am executing this affidavit to attest to the truth of the foregoing


    facts.

    IN WITNESS WHEREOF, I have hereunto affixed my signature this 31st day


    of January 2017, in the City of Silay, Negros Occidental, Philippines.

    CONFORME:

    JASON JIMENA FRAYCO VINCY SUPLICO ABADA


    Affiant

    SUBSCRIBED AND SWORN TO before me this 31st day of January 2017 in


    the City of Silay, Negros Occidental, Philippines, affiant exhibited to me
    her I.D 4508-0065B-E2597VSA20000-8 issued by COMELEC, E. B. Magalona, Negros
    Occidental, Philippines, bearing her photograph and signature.

    WITNESS MY HAND AND SEAL on the date and place above-written.

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

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