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Republic of the Philippines)

Davao City
) S.S.

AFFIDAVIT OF ACKNOWLEDGMENT AND CONSENT


I, YSMAEL MAALI, of legal age, Filipino, married and a resident
of Tagum City, Davao del Norte, Philippines, after being sworn in
accordance with law, hereby depose and state that:
1. I am the biological father of the minor child, KHAELLANE
MAALI, who was born on November 29, 2006 at Tagum City,
Davao del Norte, Philippines;
2. At the time of the birth of said minor child, I was not legally
married to his biological mother ANELYN P. MALLAS, who now
resides and works at Jordan;
3. I hereby acknowledge my paternity/ filiation of the minor child,
KHAELLANE MAALI and that I am giving my consent for him
to use my surname as the same is reflected in his birth certificate;
4. His mother, ANELYN P. MALLAS wishes to take our minor child
to Jordan to live with her and I hereby give my consent to such;
5. I am however going to continue to give the support to our minor
child, as it is my obligation as a parent;
6. I am executing this affidavit to attest to the truth of the foregoing
facts and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 12 th


day of August 2015, in the City of Davao, Philippines.

YSMAEL MAALI
Affiant

I.D. No. _____________


SUBSCRIBED and sworn to before me, in the City of Davao,

this 12th day of August 2015.


Doc. No. ____
Page No. ____
Book No. ____
Series of 2015.

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