7/24/2019 adoption consent form

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REPUBLIC OF THE PHILIPPINES)PROVINCE OF ALBAY) S.S.CITY OF LEGAZPI

AFFIDAVIT OF CONSENT

I, Aimee A. Vader, 11 year !"d, Fi"i#i$! %i&i'e$, a$d a reide$& !( Far Far Aay,Le*a'#i Ci&y, P+i"i##i$e, a(&er +ai$* d-"y !r$ &! i$ a%%!rda$%e i&+ "a d!+erey de#!e a$d de%"are/

1. T+a& I am aare !( &+e deire !( my ad!#&ie #are$& &! 0!i$&"y ad!#& A$ai$Sya"er &! e%!me &+eir "e*a" da-*+&er2

3. T+a& i$%e I %ame i$&! rea!$, I a"ready (e"& &+eir "!e a$d a4e%&i!$ a &r-e#are$& &! A$ai$ Sya"er a$d &+a& &+ey rea""y "!ed a$d &rea&ed +er a&+eir !$ da-*+&er2

5. T+a& I e"iee &+a& i& i"" e (!r &+e e& i$&ere& !( A$ai$ Sya"er a$d I+erey *ie my %!$e$&, (ree"y a$d !"-$&ari"y, &! &+e ad!#&i!$2

6. T+a& I e7e%-&e &+i a8dai& &! a&&e& &! &+e &r-&+ !( &+e (!re*!i$* a$d (!r+a&eer #-r#!e i& may "e*a""y ere.

IN 9ITNESS 9HEREOF, I +ae +ere-$&! a87ed my i*$a&-re &+i 13&+ day !(N!emer 3:1;, a& Far Far Aay, Le*a'#i Ci&y, P+i"i##i$e.

AIMEE AMIDALA VADER

A8a$&

SUBSCRIBE< AN< S9ORN &! e(!re me &+i 13 &+day !( N!emer 3:1;, a&Far Far Aay, Le*a'#i Ci&y. T+e a8a$& e7+ii&i$* +er %+!!" I< i-ed !$ =-$e 3:1;a& Far Far Aay, Le*a'#i Ci&y, P+i"i##i$e.