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WE, Fernando Jose and Marimar, both of legal age, husband and wife,
respectively, and presently residing at City of Pines, after having been duly
sworn to in accordance with law, depose and state:
1. That we are the biological parents of Pulgozo who was born on June
30, 2013 at the City of Pines, evidenced by his Birth Certificate;
2. That in his Birth Certificate, no entry was registered in the portion for
the Father;
4. That at the time of his birth, we, his parents, were not yet married;
5. That at the time of the conception of our child, there was no legal
impediment for us to contract marriage;
8. That we are executing this Affidavit to attest to the foregoing facts, for
purposes of complying with the requirements in applying for the
legitimation of our son, _____________________ and for all legal intents
and purposes.
IN WITNESS WHEREOF, we have hereunto set our hands this ____ day of
____________ in _________________.
___________________________ ______________________________
Father Mother