Acknowledgment of Paternity by Shiva

No. 9

Acknowledgment of Paternity

I, A.B., aged . . . . . . . . . . years, son of . . . . . . . . . . . . . . . . . . . . .  , resident of. . . . . . . . .  , do hereby declare and acknowledge that C.D., aged. . . . . years (here add full description and distinguishing marks of C.D.) and residing with me is my legitimate son/daughter born to my lawfully wedded wife E.F., daughter of. . . . . . . . . .whom I married on . . . . . . . . . . at . . . . . . . . I have since the birth of the aforesaid treated him/her as my lawful son/daughter.

Dated at . . . . . . . . . this the . . . . . . . .day of. . . . . . . . . . , 20. . . . .

Witness:                                                                                               Sd. A.B.