ACKNOWLEDGEMENT OF PATERNITY
I, ____________________________________, of legal age, single/married, ___________ citizen,
and presently residing at _____________________________________________, under oath depose
and state:
That I am the natural or biological father of minor _______________________________ who was
born on ____________________________, at ____________________________ by his/her
mother ___________________________________ ;
That our child ________________________________ were born without the benefit of marriage or
outside wedlock between me and ____________________________;
That I executed this document to manifest and recognize/acknowledge
______________________________________ as my daughter/ son and for all intents and legal
purpose.
In witness thereof, I do hereby set my hands this __ day of ____________ 2012, here at the
Philippine Embassy in Vienna, Austria.
__________________________________
Signature over printed name of Affiant
x-------------------------------------------------------------------------------------------------------------x
EMBASSY OF THE PHILIPPINES
VIENNA, AUSTRIA
SUBSCRIBED AND SWORN TO BEFORE ME this __ day of ___________ 2012, affiant exhibiting to me his
___________ Passport No. _______________ issued on _____________ in _______________.
DOC. No._________
PAGE No._________
BOOK No. VII
Series of 2012
SERVICE No. ______
O.R. No. _________
DATE ____________
FEE 22,50
22,5022,50
22,50EUR
EUREUR
EUR
