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W ITNESSETH
WHEREAS, prior to their actual marriage on __________________________________ to
__________________________________ and _________________________________ were already living
together as husband and wife without the benefits of marriage. On account of their relationship they
begot a child name ___________________________________, who was born on
____________________________ at ____________________________ and whose Birth Certificate was
registered/not registered in the City of ______________________________ with Registry No.
____________________________________.
WHEREAS, in view of the foregoing facts and circumstances and in order to erase any and all
doubts as to _______________________________, thereby bestowing upon him/her the rights, privileges,
prerogatives and benefits to which entitled under the laws. We
________________________________________ and ______________________________ had been
legitimated by virtue of our subsequent marriage, henceforth by operation of the laws, she/he should be
known as ___________________________________________________.
IN WITNESS WHEREOF, we have hereunto set our hands this ________________ day of
____________________________, 200___ at Pasay City, Metro Manila.
____________________________________ _____________________________
(Father Affiant) (Mother Affiant)
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal this
____________ day of ______________________, 200___ at Pasay City, Metro Manila.
This form is downloaded from www.pasay.gov.ph. The Official Website of the Pasay City Government