Affidavit of Birth Template Philippines — Sample & Guide

What Is an Affidavit of Birth?

An Affidavit of Birth is a sworn declaration by a person with direct knowledge of a birth, attesting to the date, place, and parentage of the subject. It is primarily used in the Philippines to support a delayed registration of birth at the Local Civil Registry when no birth certificate was ever filed, or when the original record was lost and cannot be reconstituted.

Under Philippine law (Act No. 3753 and RA 9048/9255), the Local Civil Registrar requires a notarized affidavit from persons with personal knowledge of the birth as a primary supporting document for delayed registration.

When Is an Affidavit of Birth Required?

Delayed birth registration — for persons born without civil registration (common in remote areas, home births in earlier decades)
Lost birth certificate — when the LCR records were destroyed by fire, flood, or calamity and the PSA has no copy
Government ID applications — some agencies accept an Affidavit of Birth when a PSA birth certificate is temporarily unavailable
Estate and inheritance claims — to establish relationship to a deceased person when no birth certificate exists
Passport applications — as a supporting document when the PSA birth certificate shows irregularities

Required Facts in an Affidavit of Birth

Affiant's identity and relationship — who they are and why they have personal knowledge of the birth
Subject's full name — as it should appear in the civil registry
Date of birth — complete date (day, month, year)
Place of birth — municipality/city, province
Father's full name — citizenship, occupation, address (if applicable)
Mother's full maiden name — citizenship, occupation, address
Reason for late registration — why no birth certificate was filed at birth
Supporting documents the affiant is aware of — baptismal certificate, school records, voter registration

Free Affidavit of Birth Template

Republic of the Philippines

City/Municipality of ) S.S.

Province of

AFFIDAVIT OF BIRTH

I, [AFFIANT'S FULL NAME], [age] years old, [civil status], Filipino, with residence at [complete address], after being duly sworn in accordance with law, hereby depose and state that:

1. I am the [relationship: e.g., "mother / attending midwife / neighbor"] of [SUBJECT'S FULL NAME], and I have personal knowledge of the facts stated herein.

2. That [SUBJECT'S FULL NAME] was born on [date of birth] at [place of birth: barangay, municipality/city, province], Philippines.

3. That [he/she] is the [legitimate/illegitimate] child of [FATHER'S FULL NAME], [age], [citizenship], [occupation], of [address], and [MOTHER'S FULL MAIDEN NAME], [age], [citizenship], [occupation], of [address].

4. That [SUBJECT'S FULL NAME]'s birth was not registered at the time due to [reason: e.g., "the absence of a birth attendant and the remoteness of the area, which made registration impossible at the time"].

5. I am executing this Affidavit of Birth to support the delayed registration of the birth of [SUBJECT'S FULL NAME] at the Local Civil Registry of [municipality/city] and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this day of , 20 at , Philippines.

[AFFIANT'S FULL NAME]

Affiant

SUBSCRIBED AND SWORN TO BEFORE ME, this day of , 20, in , Philippines. Affiant exhibited to me his/her Competent Evidence of Identity: .

NOTARY PUBLIC

Until Dec. 31, 20
PTR No.
IBP No.
Roll No.
MCLE Compliance No.

Doc. No. ;

Page No. ;

Book No. ;

Series of 20.

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Supporting Documents for Delayed Birth Registration

Along with the Affidavit of Birth, the Local Civil Registry typically requires at least two of the following supporting documents:

Baptismal certificate (church record)
School records (Form 137, diploma, enrollment certificates)
Voter's affidavit or voter registration record
Marriage certificate of parents (for legitimacy)
Affidavit from two disinterested persons with personal knowledge of birth
Medical records (vaccination card, hospital birth record)
CENOMAR or government documents showing relationship

Frequently Asked Questions

What is an Affidavit of Birth in the Philippines?

An Affidavit of Birth (also called an Affidavit in Lieu of Birth Certificate or Delayed Registration Affidavit) is a sworn declaration attesting to the facts of a person's birth — date, place, parents — when the PSA birth certificate was never registered, cannot be located, or needs supplementing for record correction purposes.

When is an Affidavit of Birth used?

Common uses include: (1) supporting a delayed birth certificate registration at the Local Civil Registry; (2) establishing birth facts for government IDs when no PSA record exists; (3) supporting estate claims or inheritance proceedings; (4) age and identity verification for elderly persons born before civil registration was systematic.

Who should execute an Affidavit of Birth?

Ideally, two disinterested persons with personal knowledge of the birth — such as the attending midwife or traditional hilot, an older sibling present at birth, a barangay official, or a long-time neighbor. The subject's parents may also execute it, but two independent witnesses are preferred by the Civil Registrar.

Does an Affidavit of Birth replace a PSA birth certificate?

No. An Affidavit of Birth supports a delayed registration or correction at the Local Civil Registry. Once the LCR processes the registration, the PSA will eventually issue a certified copy of the birth certificate. The affidavit is the supporting document, not the final record.

What government office processes a delayed birth registration?

The Local Civil Registry (LCR) of the city or municipality where the person was born. You bring the notarized Affidavit of Birth together with other supporting documents (baptismal certificate, school records, voter's affidavit, etc.) to the LCR for delayed registration processing.

Affidavit of Birth Template Philippines: Delayed Registration & Guide