Sie sind auf Seite 1von 1

REPUBLIC OF THE PHILIPPINES) S.S.

City of General Santos)


x - - - - - - - - - - - - - - - - - - - - - - - x
AFFIDAVIT OF EXPLANATION
e! A an" B , #ot$ Fili%inos! of le&al a&es an" resi"ents of 'CE! P$ili%%ines!
$a(in& #een ")ly s*orn in a++or"an+e *it$ la*! $ere#y "e%ose an" state,

1. T$at *e #ot$ %ersonally -no* t$e %erson of FG! #orn to HI an" ./
on 'e+e0#er 1! 23345
2. T$at $er %arents are not 0arrie" $en+e in $er #irt$ +erti6+ate $er
last na0e is re7e+te" as / instea" of G5
3. Ho*e(er! s$e is a re+o&ni8e" +$il" of $er fat$er an" in fa+t $er
fat$er si&ne" $er #irt$ +erti6+ate5
4. T$at in all $er "o+)0ents li-e s+$ool re+or"s! Co0ele+ I' an" all
ot$ers! $er na0e is re7e+te" as FG
5. T$at *e -no* for a fa+t t$at FG an" F/ refers to one an" t$e sa0e
%erson5
6. T$at *e are not relate" in any *ay! eit$er #y +onsan&)inity or
a9nity! to t$e sai" FG5
7. :s s)+$! *e exe+)te t$is .oint :9"a(it to attest to t$e tr)t$ of t$e
fore&oin& fa+ts an" for any ot$er le&al %)r%ose t$at t$is :9"a(it
0ay ser(e.
8. T$at I! FG, "o $ere#y a9r0 an" +on6r0 t$e fore&oin& state0ent.

IN WITNESS WHEREOF! *e $a(e $ere)nto set o)r $an"s t$is
;;;;;;;;;;;;;! at ;;;;;;;;;;;;;! P$ili%%ines.
A B
:9ant :9ant
;;;;;;;;;;;;;;;;;; ;;;;;;;;;;;;;;;;;;
SUBSCRIBED AND SWORN to #efore 0e! t$is ;;;;;;;;;;;;;! *$o0 I $a(e
i"enti6e" t$ro)&$ +o0%etent e(i"en+e of i"entity.
'o+. No. ;;;;;;5
Pa&e No. ;;;;;;5
Boo- No.;;;;;;5
Series of 14;;;;.

Das könnte Ihnen auch gefallen