Affidavit of Two Disinterested Person - Delayed Registration 2
Affidavit of Two Disinterested Person - Delayed Registration 2
JOINT AFFIDAVIT
(Re: Late/Delayed Registration of Birth)
We, JERIEL T. MERCADO and REMIE JOY L. HUSTON, both of legal age,
Filipino citizens and with residence and postal address at Culianan, Zamboanga City and
Pasonanca, Zamboanga City respectively, after having been duly sworn and oath in
accordance with law hereby voluntarily depose and say:
1. That we know the facts and circumstances surrounding the birth of the child
named ADRIEL BERNICE MERCADO BARLISO who was born on 24th of
March 2019 to her biological parents LCEE JOY TUPAS MERCADO and
ROLANDO RULIDA BARLISO;
2. That the said child was born outside of wedlock and the birth of said child was
attended by a midwife;
3. That due to the negligence and/or inadvertence on the part of his parents and
the prevailing conditions then, his birth was not reported and registered with
the Office of the Civil Registrar of Zamboanga City immediately thereafter;
5. That we are executing this Joint affidavit to attest to the truth of all the
foregoing facts, in connection with the application for the late/delayed
registration of birth of the said ADRIEL BERNICE MERCADO BARLISO with
the office of the Civil Registrar of Zamboanga City and for whatever legal
purpose this may serve;
IN TRUTH WHEREOF, we have hereunto set our hands, this December 3, 2019
at Zamboanga City, Philippines.
SUBSCRIBED AND SWORN to before me, this 3rd day of December 2019 at
Zamboanga City, Philippines, affiants exhibiting to me their respective Identification Cards
as above stated.