Republic of the Philippines )

City of Pines )s.s.

JOINT AFFIDAVIT OF LEGITIMATION

WE, Fernando Jose and Marimar, both of legal age, husband and wife,
respectively, and presently residing at City of Pines, after having been duly
sworn to in accordance with law, depose and state:

1. That we are the biological parents of Pulgozo who was born on June
30, 2013 at the City of Pines, evidenced by his Birth Certificate;

2. That in his Birth Certificate, no entry was registered in the portion for
the Father;

3. That to acknowledge paternity over Pulgozo a separate “Affidavit of

Acknowledgement of Paternity and Consent to Use Father’s Surname”
is being executed;

4. That at the time of his birth, we, his parents, were not yet married;

5. That at the time of the conception of our child, there was no legal
impediment for us to contract marriage;

6. That we were married on February 14, 2015 at the Pines Hotel,

evidenced our Marriage Certificate;

7. That by virtue of our subsequent marriage, Pulgozo is now legitimated

by operation of law and shall be using the name Pulgozo Jose; and

8. That we are executing this Affidavit to attest to the foregoing facts, for
purposes of complying with the requirements in applying for the
legitimation of our son, _____________________ and for all legal intents
and purposes.

IN WITNESS WHEREOF, we have hereunto set our hands this ____ day of
____________ in _________________.
___________________________ ______________________________
Father Mother

SUBCRIBED AND SWORN TO before me this _____ day of _____________ in

_____________, affiants exhibiting to me their valid proofs of identification,
_______________________ and ____________________________.

Doc. No. ______;

Page No. ______;
Book No. ______;
Series of _______.