REPUBLIC OF THE PHILIPPINES

REGIONAL TRIAL COURT

FOURTH JUDICIAL REGION
PROVINCE OF CAVITE
BRANCH _____

IN THE MATTER OF THE

ADOPTION OF THE MINOR
_________________,
SPEC.PROC. NO. _____

SPOUSES ____________ &

___________________________,
x- - - - - - - - - - - - - - - - - - - - - - - - - -x

PETITION

PETITIONERS, by counsel, unto this Honorable Court, most

respectfully allege:

1. That Petitioners are of legal age, married to each other, Japanese

and Filipino citizens, respectively, and residing at___________
________________, Japan. While in the Philippines, they are
residing at ______________________________;

2. That petitioners were married on ________________ at the

_________________________ as evidenced by their Certificate of
Marriage, a copy is attached as Annex A;

3. That petitioners wish to adopt their own illegitimate son,

____________, who is 12 years old, single, and residing with his
maternal sister at _______________________________;

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4. That prior to the said marriage, the petitioners have been
sweethearts since ______. As a result of the said relationship,
minor _____________ was born. Attached as Annex B is the
Certificate of Live Birth of _____________ showing that he was
born on _______________ at ___________________;

5. That at the time _____________ was born, petitioner

____________, a Japanese national, was still married to
_____________. On December 29, 1993, the said marriage was
dissolved by virtue of a Decree of Divorce. A copy of a
Certificate issued by the Consulate-General of Japan stating that
petitioner ______________ is divorced from his wife on
_________________ is attached as Annex C.

6. That petitioners have all the qualifications and none of the

disqualification to adopt their own child and are in the best position
to give the child the proper care, custody, love and support;

7. That petitioners are in possession of full civil capacity and legal

rights, are of good moral character, had not been convicted of any
crime involving moral turpitude, are emotionally and
psychologically capable of caring for their son, and are in the
position to support and care for their son in keeping with the means
of the family;

8. That Japan has diplomatic relations with the Republic of the

Philippines;

9. That this adoption will serve the best interest of minor

_________________ as the same will raise his status from
illegitimate to legitimate and thus be entitled to the benefits and
privileges reserved for legitimate children.

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 PRAYER

WHEREFORE, Petitioners pray that after due notice, publication,

and hearing, judgment be rendered that henceforth, minor _____________
be declared to all intents and purposes, the legitimate child of the petitioners,
and henceforth be named __________________ .

Other just and equitable reliefs under the premises are also prayed for.

________________, __________________.

_____________________________
Counsel for the Petitioners

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 VERIFICATION AND CERTIFICATE
OF NON-FORUM SHOPPING

We, ____________________ and __________________, of legal age, married, Japanese

and Filipino citizen respectively, and residing at ___________________
________________, hereby depose and state:

1. That we are the petitioners in the above-entitled petition;

2. That we have caused the preparation of the foregoing petition. Having read the
same, we certify that the facts stated therein are true and correct of our own
personal knowledge.

3. That we have not commenced any petition or similar proceeding involving the
same issues in the Supreme Court, the Court of Appeals, or any other tribunal
or agency.

4. That to the best of our knowledge, no such action or proceeding is pending in

the Supreme Court, the Court of Appeals, or any of its Divisions thereof, or
any tribunal or agency thereof.

5. That should we thereafter learn that a similar petition, action or proceeding has
been filed or is pending before the Supreme Court, the Court of Appeals, or
any of its Divisions, or any other tribunal or agency, we undertake to promptly
inform the aforesaid Courts and such other tribunal or agency of such fact
within five (5) days therefrom.

IN WITNESS WHEREOF, we hereunto affix our signatures this ____ day of

_________________ at __________________.

______________________ _____________________________
Affiant Affiant

SUBSCRIBED AND SWORN to before me this ____ day of _____________ in

the __________________, affiants exhibiting to me their Japanese Passport with No.
______________________, and Philippine Passport with No.
______________________.