AFFIDAVIT OF LATE REGISTRATION OF BIRTH

I, , Filipino, of legal age, an d presently residing at

after having been duly sworn to in accordance with law, hereby depose and state
that:
1. That I am the father/mother of
who was born on at ;
2. That I did not register the birth of the said child due to;
3. That I am executing this affidavit for the purpose of registering the birth of the
said child at the Philippine Embassy in Singapore.
AFFIANT SAYETH FURTHER NAUGHT. IN TRUTH WHEREOF, I have hereunto signed my name
below this day of at the Embassy of the Philippines in Singapore.

Affiant
Full Name and Signature

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 ______________________________________.
AFFIDAVIT FOR DELAYED REGISTRATION OF
BIRTH MARRIAGE DEATH
(In case of birth, this form may be accomplished by either the father, mother, guardian or the person
concerned himself/herself, if the latter is already 18 years old and above.)

I, _______________________________ of legal age, single/married and

with residence and postal address at __________________________________,
after having duly sworn to in accordance with law, do hereby depose and say:
1. That I am the applicant for the delayed registration of
birth/marriage/death of ____________________________________;
2. That said birth/marriage/death took place on _________________ in
______________________________;
3. That I/he/she am/is a citizen of __________________________; and
4. That the reason for the delay in registering the birth/marriage/death
was due to _____________________________________________.
__________________________
Affiant’s Signature

SUBSCRIBED AND SWORN TO before me this __ day of _________

20____ at ________________________.

__________________________
Notary Publ

Reluctance