Affidavit Declaration of Citizenship
Affidavit Declaration of Citizenship
AFFIDAVIT
1. I was born on July 7, 1993 in Our Savior Hospital, Rosario, Cavite, Philippines by my
parents Spouses DAVID GENE FINGERHUT, an American Citizen and MARIA RUBYCINIA ARCA
RIVERA, Filipino Citizen;
3. Up to this present day, I have grown to love and appreciate the beauty of this country and
hereby declare under oath that I am a faithful and patriotic citizen of the Republic of the Philippines;
4. I hereby vouch to uphold the constitution, the laws, and the authority of the dully
constituted authorities herein;
5. Based on the foregoing declarations, I hereby truthfully and wholeheartedly declare that
for all intents and purposes, I intend to be a holder of Philippine citizenship and have always believed in
the principles underlying the Philippine Constitution;
6. I am executing this affidavit to attest to the truth of the foregoing and for whatever legal
purposes and intent it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this 6 th day of March, 2014 at the
Municipality of Tanza, Cavite, Philippines.
SUBSCRIBED AND SWORN to before me this 6TH day of March, 2014, in the Municipality of
Tanza, Province of Cavite, Philippines, affiant exhibiting to me his passport bearing no. 510080016
issued on November 22, 2013 in USA.
Doc.No. _____;
Page No. _____;
Book No. XII;
Series of 2014.