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Date of Birth Time of Birth Place of Birth (in full) Civil Status of Parents FATHER Full name Race: Date of Birth: Occupation: Present residence: Religion: Birthplace: Naturalized (if foreign born): MOTHER Full Name Race: Dat.

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  3. Fill the empty areas; involved parties names, addresses and phone numbers etc.
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  5. Add the particular date and place your electronic signature.
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  • ny
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  • AFFIDAVIT
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