Sei sulla pagina 1di 2

REPUBLIC OF THE PHILIPPINES )

City/Municipality of ________________) S.S.


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

JOINT-AFFIDAVIT OF CONSENT

WE, _________________ and _________________, both of legal age,


Filipino, spouses, residents of ___________________________, Philippines, after
having been duly sworn under oath, do hereby state that:
1. We are the biological parents of our child, _______________________,
________ years old, born on _________________________ at
________________________;

2. We have not, at any time, abandoned said minor child;

3. We are unable to support said child and that believing that it would be for his
own interest and benefit, we, hereby signify our written intent, to freely and
voluntarily have our son _________________ adopted;

4. We also signify our written consent to freely, willingly and voluntarily have our
son ___________________ legally adopted by SPS. _____________ and
______________, residents of ____________________________, in accordance
with Philippine laws;

5. We are ready and willing, to freely and voluntarily abdicate our parental
authority over said child in favor of SPS.____________ and
____________________ who are ____ and _____ years of age, respectively,
and who are both possessed of the necessary civil and legal rights as well as the
financial capacity to raise, rear and support said child, after the adoption
proceeding had been instituted and an order of adoption been issued;

6. We voluntarily and freely give the custody and care of our child to SPS.
________ and _________ who are the prospective adoptive parents while the
adoption is being processed in accordance with Philippines laws;

7. We are executing this affidavit to declare our intention and consent to the
adoption of our son _____________ as well as to attest to the truth of the
foregoing facts.

IN WITNESS WHEREOF, I have hereunto affixed my signature on this ______


day of December 2019, at ______________________.

NAME NAME
Affiant Affiant
ID No. ___________________ ID No. ___________________
Issued on_________________ Issued on_________________
Issued at__________________ Issued at__________________
SUBSCRIBED and SWORN to before me this ___ day of December 2019, at
_______________________, personally known to me and known to be the same
person who signed the above affidavit. I hereby certify that I have personally examined
the above-named affiant and that I am satisfied that the foregoing statements were
given by him voluntarily and of his own free will.
DOC. NO. _______ ;
PAGE NO.______
BOOK NO.______ ,
Series of _______

Potrebbero piacerti anche