UNDERTAKING AND OATH REGARDING COMPLETE AND ACCURATE INFORMATION ON PROSPECTIVE ADOPTIVE PARENTS

 

 

 

We,___________________________, residents of _________________________, are applying to adopt from the Philippine program.

 

 

We acknowledge the necessity to ensure that complete and accurate information is given regarding the prospective adoptive parents and their children, the following are true and accurate statements, as verified by our initials and sworn signature:

 

 

  1. All information provided about ourselves, our biological/adoptive child/ren and the other family members are complete and accurate,

 

 

  1. We have not made any or previous pending effort/s to bring a child/ren from the Philippines (e.g. through medical, tourist, student or sponsor visa),

 

 

  1. We have not and will not make any effort to adopt a child/ren within the Philippine court system.

 

 

 

Adoptive Father Signature: ________________________ Date: __________

 

Adoptive Mother Signature: ________________________Date: __________

 

 

 

 

 

 

 

–      – – – – – – – – – – – – – – — –  – – – – – – – – – – – – – – – – — – – – – – – — – — – –

 

 

Acknowledged before me this ________day of ___________________, 20 ____ in

 

State/Province of ________________________ Country of __________________.

 

 

 

 

Notary Public Name:                           _________________________

 

Notary Public Signature                      _________________________

 

Notary Publics Country of Residence   _________________________

 

My Commission Expires                      _________________________

 

 

 

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 UNDERTAKING AND OATH REGARDING COMPLETE AND ACCURATE INFORMATION ON PROSPECTIVE ADOPTIVE PARENTS
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