Republic of the Philippines)

City of Cebu………………………………………) s.s.

AFFIDAVIT
(of Late Registration of Marriage Contract)

We, _____________ and ____________, both Filipinos, of legal

ages, and residents of ______________, Philippines, having
been duly sworn in accordance with law, hereby depose and
state:

1. That we know the person ___________ as the same has been a

close acquaintance for a long period of time;

2. That we know for a fact that ____________ and ____________

were lawfully joined together on _____________at
____________ in a marriage ceremony solemnized by
_______________;

3. That we are likewise aware that the date of marriage

appearing in the Certificate of Live Birth issued for
their child, ____________, is not the true and correct one
as they have not yet taken each other as husband and wife
at the time of his birth;

4. That it was discovered but recently when ____________

requested for a copy of their Marriage Contract from the
Civil Registrar that the said document has not yet been
registered probably through oversight and so the said
Marriage Contract was only registered last ____________;

5. As such, we execute this affidavit to certify or attest to

the truth of the foregoing circumstances and for whatever
legal purposes that this affidavit may serve.

IN WITNESS WHEREOF, I hereunto affix my signature this ___ day

of _________ at Cebu City, Philippines

Affiant

SUBSCRIBED AND SWORN TO before me this ____the day of

____________ at Cebu City Philippines affiant exhibiting to me
sufficient identification ads above indicated.
Doc. No. ______
Page No. ______
Book No. ______
Series of