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AFFIDAVIT OF LATE REGISTRATION OF BIRTH

I / We, _______________, _______________, _______________ citizen and


_______________ citizen, respectively, of legal age, presently residing at
__________________________, Peoples Republic of China, after having been duly
sworn to before competent authority hereby depose and say that:
1. I am /We are the mother / father / parents of a child named
_________________________, who was born on ____________________ in
____________________;
2. Right after his / her birth until today, I was / we were unable to register the
birth and apply for a Philippine passport for my / our said son / daughter due
to ___________________________________________________________;
3. I / We are executing this affidavit to enable us to apply for a report of birth at
the Philippine Consulate General in Xiamen.

IN WITNESS WHEREOF, I / We hereunto set my / our signature(s) on this _____


day of _______________ 20___ in Xiamen City, Peoples Republic of China.

_________________________
Affiant (Mother)

_________________________
Affiant (Father)

PHILIPPINE CONSULATE GENERAL )


XIAMEN
) S. S.

SUBSCRIBED AND SWORN to before me this _____ day of _______________


20___ in Xiamen City, Peoples Republic of China. Affiant(s) exhibited to me his /
her / their Philippine Passport No(s). _____________ / _____________, which was
issued on ________________ / _________________ in _______________. /
_______________

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AFFIDAVIT OF LATE REGISTRATION OF BIRTH


I, __ _______________ of legal age, married, and presently residing at
_____________________________________________, Peoples Republic of
China, after having been duly sworn to before competent authority hereby depose
and say that:
1. I am the mother of a child named _________________________, who was
born on ____________________ in ____________________;
2. Right after her birth, I was unable to register her birth with the Philippine
Consulate General in Xiamen and apply for her Philippine passport/travel
document because _____________________________________________
3. I am executing this affidavit to enable me to apply for a report of birth for my
daughter and apply for her passport/travel document at the Philippine
Consulate General in Xiamen.

IN WITNESS WHEREOF, I hereunto set my signature on this _____ day of


_______________ 20___ in Xiamen City, Peoples Republic of China.

_____________________________
Affiant (Mother)

PHILIPPINE CONSULATE GENERAL )


XIAMEN
) S. S.

SUBSCRIBED AND SWORN to before me this _____ day of _______________


20___ in Xiamen City, Peoples Republic of China. Affiant exhibited to me her
Philippine Passport No. _____________ which was issued on ________________ in
_______________.

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Book No.
Series of
O.R. No.
Fee

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