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Affidavit For Delayed Registration of Birth

This affidavit is used to register a birth after the legal registration period. It collects information about the person whose birth is being registered such as date and place of birth, parents' names, reason for the delay in registration, and purpose for needing the birth certificate. The affidavit must be signed by the person whose birth is being registered if they are 18 or older, or by their parent or guardian if they are younger.

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Jigo Dacua
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206 views

Affidavit For Delayed Registration of Birth

This affidavit is used to register a birth after the legal registration period. It collects information about the person whose birth is being registered such as date and place of birth, parents' names, reason for the delay in registration, and purpose for needing the birth certificate. The affidavit must be signed by the person whose birth is being registered if they are 18 or older, or by their parent or guardian if they are younger.

Uploaded by

Jigo Dacua
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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AFFIDAVIT FOR DELAYED REGISTRATION OF BIRTH

(Either the person himself if 18 years old or over, or father/mother/guardian may accomplish this affidavit)

I, ______________________________________________________ of legal age,


singles/married, and with residence and postal address at _____________________
_________________________________________________, after having been duly sworn to in
accordance with law, do hereby depose and say:

1. That I am the applicant for the delayed registration of my birth / or the birth of
_________________________________________________.
2. That I / he / she was born on ____________________________________ at
____________________________________________________________;
3. That I / he / she was attended at birth by _____________________________ who
resides at __________________________________________________;
4. That I / he / she is a citizen of _________________________________________;
5. That my / his / her parents were ________________________________________
( ) married on _____________________ at _______________________________
( ) not married but was acknowledged by my / his / her father whose name is
__________________________________________________________________;
6. That the reason for the delay in registering my / his / her birth was due to ______
__________________________________________________________________;
7. That a copy of my / his / her birth certificate is needed for the purpose of ______
__________________________________________________________________;
8. ( ) (For the applicant only) That I am married to ___________________________.
( ) (For the father/mother/guardian) That I am the ______________________ of the
said person.

________________________________
(Affiant signature over printed name)

SUBSCRIBED AND SWORN to before me this _____________________ day of


______________________, 20 __ in ______________________________________.

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