REPUBLIC OF THE PHILIPPINES

PROVINCE OF RIZAL
MUNICIPALITY OF JALAJALA

JOINT AFFIDAVIT
We _________________and ______________of legal age, Filipino and both
residents of Jalajala, Rizal after having duly sworn to in accordance with law hereby
depose and say:
THAT,
we
personally
know
the
subject
________________a
legitimate/illegitimate child of _______________and ____________of____________,
Jalajala, Rizal.

THAT, we were intimate and close neighbors and we were present when the
subject was born on __________ at _________,Jalajala, Rizal.
THAT, we are not related the above mentioned person either by affinity or
consanguinity;
THAT, we are executing this affidavit in order to attest to the fact about the true
and exact date of birth of the subject;
IN WITNESS WHEREOF, we hereunto affixed our signature below this _____
day of___________ 20__ at Jalajala, Rizal;

__________________
CTC NO: ___________
Issued at: ___________
Issued on: ___________

__________________
CTC NO: __________
Issued at:__________
Issued on:_________

SUBSCRIBED AND SWORN TO, before me this ____

Jalajala, Rizal, Philippines

day of _______20__ at

HON. ELY I. PILLAS

Municipal Mayor

Amount Paid: P______

O.R. No.
: _______
Date Paid
: _______

REPUBLIC OF THE PHILIPPINES

PROVINCE OF RIZAL
MUNICIPALITY OF JALAJALA

SWORN STATEMENT

I, _______________ of legal age, Filipino and a resident of____________.,

Jalajala, Rizal, after having duly sworn to in accordance with law hereby depose and
say:
THAT, the subject _____________is my iIlegitimate child to______________;
THAT, the subject was born on ____________at___________, Jalajala Rizal by
attending Hilot/ Midwife/ named _____________;

IN WITNESS WHEREOF, I here unto affixed my signature below this ____

day__________, 20__ at Jalajala, Rizal, Philippines.

_________________
Affiant
CTC No.:
___________
Issued at:
___________l
Issued on: ___________
SUBSCRIBED AND SWORN TO before me this _____ day of_______ 20__ at
Jalajala, Rizal, Philippines.

HON. ELIONOR I. PILLAS

Municipal Mayor

Amount Paid : P______

O.R. No.
: _______
Date Paid
: ______

REPUBLIC OF THE PHILIPPINES

PROVINCE OF RIZAL
MUNICIPALITY OF JALAJALA

AFFIDAVIT FOR OUT OF TOWN REGISTRATION

I ______________of legal age, Filipino and a resident of_______, Jalajala Rizal
after having duly sworn to in accordance with law hereby depose and say:
THAT,
I /My Daughter/Son___________ was born on_____________
_________________________

at

THAT, the reason for the delay in registering of my/his/her birth was due to
my/his/ her parents negligence.
THAT, I am executing this affidavit in order to attest to the fact about the true and
exact date of my/his/her birth because my/his/her name does not appear nor being
registered in the CCR of your City/ Municipality;
THAT, I am requesting the CCR of your City/ Municipality to register it under
delayed registration;
IN WITNESS WHEREOF, I hereunto affixed my signature below this _____ day
of _________,20__at Jalajala, Rizal, Philippines.

_____________
Affiant
CTC No.:
___________
Issued at: ___________
Issued on: ___________

SUBSCRIBED AND SWORN TO, to before me this ___ day of ___ 20_ at
Jalajala, Rizal.

HON. ELIONOR I. PILLAS

Municipal Mayor
Amount Paid: ________
O.R. No.
: _______
Date Paid
: _______

REPUBLIC OF THE PHILIPPINES

PROVINCE OF RIZAL
MUNICIPALITY OF JALAJALA

JOINT AFFIDAVIT FOR DEATH

I, _____________of legal age, married after being duly sworn to in accordance
with law do hereby depose and say:
THAT, __________________was died on________ at__________, Jalajala,
Rizal and was buried in___________, Jalajala, Rizal on_____________ ;
THAT, the deceased were/was attended to at the time of his/her death ;
THAT, the reason for the delay in registering this death was due to Negligence ;

________________
Affiant
CTC No.: ___________
Issued at: __________
Issued on: ___________

SUBSCRIBED AND SWORN TO, before me this _____day of ____, 20___ at

Jalajala, Rizal, Philippines

HON. ELIONOR I. PILLAS

Municipal Mayor

Amount Paid : P _____

O.R. No.
: ______
Date Paid
: ______

REPUBLIC OF THE PHILIPPINES

PROVINCE OF RIZAL
MUNICIPALITY OF JALAJALA

)
) S. S.
)

JOINT AFFIDAVIT OF DISCREPANCY

WE, _____________ and ____________ of legal age, Filipino and both residents
of Jalajala, Rizal after having duly sworn to in accordance with law hereby depose and
say:
1. THAT, we personally know the subject, ______________ a legitimate child of
____________ and _______________of Jalajala, Rizal;
2. THAT, the subject _______________was born on __________________ at
Jalajala, Rizal;
3. THAT, since birth up to present, she have been using ______________ as her
real name, hence, in her Birth Certificate and in all her other legal records /
documents;
4. THAT, her real name is ____________ registered in his/her Birth Certificate but
erroneously registered in his/her Marriage Contract as______________;
5. THAT, for an unknown reason and/or honest mistake, her name is
_____________ registered in his/her Marriage Contract instead of
______________________ which is the correct one registered in his/her Birth
Certificate and other legal documents;
6. THAT, we are executing this affidavit to attest to the truth of the foregoing facts
and for whatever lawful purpose that this affidavit may serve.
IN WITNESS WHEREOF, we hereunto affixed our signature below this_____day
________________at Jalajala, Rizal

________________
CTC No.: ___________
Issued at: __________
Issued on: __________

_______________
CTC No.:___________
Issued at: __________
Issued on: __________

SUBSCRIBED AND SWORN TO, before me this ____day of _____, 20 at

Jalajala, Rizal, Philippines.

HON. ELY I. PILLAS

Municipal Mayor
Amount Paid : P______
O.R. No.
: _______
Date Paid
: _______

REPUBLIC OF THE PHILIPPINES

PROVINCE OF RIZAL
MUNICIPALITY OF JALAJALA

AFFIDAVIT OF LEGITIMATION
WE, spouses ______________and _____________both of legal age, Filipino
citizen and both residents of_____________, Jalajala, Rizal, after duly sworn to in
accordance with law hereby depose and say:
That we are the legitimate parents of ________________who was born
on______________ at _________ Jalajala, Rizal ;
That the said birth was registered at the Office of the Local Civil Registrar this
Municipality as illegitimate child;
That at the time of the said birth, there was no legal impediment for us to get
married;
That we were
by________________.

married

on

_____________at

_____________officiated

That this affidavit is being attested to the fact to the foregoing statement and for
the purpose of legitimating the birth of our child;
Further we safety none;
IN WITNESS WHEREOF, we hereunto affixed our signature below this___ day
of ________at Jalajala, Rizal.

____________________
CTC No.: ___________
Issued at: __________l
Issued on: __________

________________
CTC No.: ________`
Issued at: ________
Issued on: _________

SUBSCRIBED AND SWORN TO, before me this _____day of

Jalajala, Rizal, Philippines.

HON. ELY I. PILLAS

Municipal Mayor
Amount Paid : P______
O.R. No.
: _______
Date Paid
: _______

___,20

at