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    Petitioner.3rd Person - Admission For CDCLAA

    Uploaded by

    AlyssaCabrera
    This document provides a template for an affidavit of admission of simulation of birth to be used during the CDCLAA stage of an administrative adoption case. The template outlines the information that should be included in the affidavit, such as how the child came into the care of the petitioner, the child's true identity and biological parents, and the purpose of admitting the simulation of birth record to meet requirements under the CDCLAA law. The affidavit must be notarized and executed by the petitioner(s).

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    Petitioner.3rd Person - Admission For CDCLAA

    Uploaded by

    AlyssaCabrera
    198 views2 pages
    This document provides a template for an affidavit of admission of simulation of birth to be used during the CDCLAA stage of an administrative adoption case. The template outlines the information that should be included in the affidavit, such as how the child came into the care of the petitioner, the child's true identity and biological parents, and the purpose of admitting the simulation of birth record to meet requirements under the CDCLAA law. The affidavit must be notarized and executed by the petitioner(s).

    Original Description:

    Template of Affidavit of Admission for the purpose of CDCLAA in RA 11222 SIBRA

    Original Title

    Petitioner.3rd person.Admission for CDCLAA (1)

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    This document provides a template for an affidavit of admission of simulation of birth to be used during the CDCLAA stage of an administrative adoption case. The template outlines the information that should be included in the affidavit, such as how the child came into the care of the petitioner, the child's true identity and biological parents, and the purpose of admitting the simulation of birth record to meet requirements under the CDCLAA law. The affidavit must be notarized and executed by the petitioner(s).

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    198 views2 pages

    Petitioner.3rd Person - Admission For CDCLAA

    Uploaded by

    AlyssaCabrera
    This document provides a template for an affidavit of admission of simulation of birth to be used during the CDCLAA stage of an administrative adoption case. The template outlines the information that should be included in the affidavit, such as how the child came into the care of the petitioner, the child's true identity and biological parents, and the purpose of admitting the simulation of birth record to meet requirements under the CDCLAA law. The affidavit must be notarized and executed by the petitioner(s).

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    Instruction: Kindly use this template as guide in preparing the Affidavit to be

    executed by the petitioner/s or with the 3 rd person during the CDCLAA stage. In
    case, petitioners are spouses, please prepare a joint affidavit. You may enhance it to
    include additional information/s that is/are relevant to the case.

    REPUBLIC OF THE PHILIPPINES)


    Province of____________________) S.S.
    City/Municipality of_____________)
    x---------------------------------------x

    AFFIDAVIT OF ADMISSION OF SIMULATION OF BIRTH

    I/We, ______________(name of affiant/s)__________________, Filipino, of legal age, single/married,


    and a resident/s of ___________(address of affiant/s)____________, after having been duly sworn in
    accordance with law, hereby depose and state:

    1. That on or about ___________(date ) , a child__month/year(s) old was left/ given/


    referred to my/our care and custody by (name of person/s to who entrusted the child). Since
    then I/We personally raised him/her as my/our own son/daughter. I/We provided him/her with
    all the material and emotional needs;

    (other circumstances as to how the child came to the custody of the affiant/s and how the
    child is treated must be stated;)

    2. That in my/our ardent desire to ensure that the care for the child will be permanent, I/we
    registered him/her as my/our own child. I/We named him/her __________________, at the
    Local Civil Registrar of ___________________ despite the fact that I/we am/are very much
    aware of his/her true identity;

    3. That in fact, her biological parents are _____________________________(state the name


    of the parents) who is/are personally known to us or to __(name of 3rd person)__. (Child) is
    born on ____________ at________________.

    (other factual information about the child’s true identity i.e. siblings, place of birth must be
    stated;)

    4. That I/We am/are executing this Affidavit to attest to the truth of the foregoing facts and for
    the purpose of admitting the fact that I/we caused the simulation of birth record of
    ______(name of child)__________ to make it appear that he/she was born to me/us, the
    known parent/s ___________, but his her real parents are _________________________
    who must execute the Deed of Voluntary Commitment as required under the CDCLAA Law or
    RA 9523 which is a basic requirement in Administrative Adoption under RA 11222;

    Further Affiant sayeth none.

    IN WITNESS WHEREOF, I have hereunto affixed my signature this ____th day of ____________
    20___ at ____________, Philippines.

    ____________( Signature)__________ ______ (Signature________


    (Affiant’s Printed Name) (Affiant’s Printed Name)

    ____________( Signature)__________
    (Affiant’s Printed Name)
    (3rd Person, if applicable)

    SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and for


    _________(City/Province)____________ this ____th day of ____________ 20___. Affiant personally
    came and appeared with _____________(Competent Evidence of Identity)______ issued by the
    _________(Government Agency)______ on ___(date)__ at ________(place)_________, bearing his
    photograph and signature, known to me as the same person who personally signed the foregoing
    instrument before me and avowed under penalty of law to the whole truth of the contents of said
    instrument.

    Atty ___________________________________________
    Notary Public
    Doc. No. ____ Commission Serial No. ____________________________
    Page No. ____ Notary Public for _______(Province/City)______________
    Book No. ____ Until December 31, 20__
    Series of 20__ Office: ______________(address)____________________
    Roll No. __________
    IBP Lifetime Roll No. _________; __/__/__ ;
    PTR No. _________ ; __/__/__ ; _(Province)_
    MCLE Compliance Cert. No. __________; __/__/__

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