You are on page 1of 2

Republic of the Philippines )

City of Tarlac ) s.s.

AFFIDAVIT OF BIRTH ORDER

I, RHEA MONLORE. of legal age, single, and a resident of Zone 4, Brgy


Matiwasay, Tarlac City, after being duly sworn according to law, do hereby depose and
state that:

1. My first son, JUAN MONLORE, was born on February 23, 2006, as appearing
on his birth certificate herewith attached as Annex A;

2. However, the birth order of my second son, DOS MONLORE, born on


November 07, 2007, was erroneously entered as first as appearing on his
birth certificate herewith attached as Annex B;

3. My third son, THIRDY MONLORE, was born on April 07, 2009, as appearing
on his birth certificate herewith attached as Annex C;

4. Wherefore, I am executing this affidavit to attest to the truth of the foregoing


facts as a requisite of my passport application and for the correction of my
second sons birth order.

IN WITNESS WHEREOF, I have hereunto set my hand this 10 th day of May 2017 at
Tarlac City.

_____________________________
RHEA MONLORE
Police Clearance ID No. ABC0030456

SUBSCRIBED AND SWORN TO before me, a notary public in and for Tarlac City this
10th day of May 2017. The affiant personally signed the foregoing instrument before me
and vowed under penalty of law to the whole truth of the contents of said instrument.

Doc. No. ____


Page No. ____
Book No. 10
Series of 2017.

You might also like