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Sample Affidavit of Birth by Father

When you petition for a Green Card, proof of birth is required. If you don’t have a proof of your birth then according to the U.S. Law, Affidavit of Birth is required when you are petitioning for a Green Card. The Affidavit must be submitted in conjunction with other birth records. An Affidavit of Birth (Father) will include your full name, birth date, and place of birth along with the details of your father’s full name, birth date, birthplace.

I, [your father’s full name], being duly sworn, hereby affirm and state under oath that:

  1. I live at [your father’s complete address].
  2. I was born in [your father’s birth city/town, state/province and country] on [your father’s birth date], and I am the father of [your full name].
  3. I am married to [your mother’s complete name].  We have been married since [marriage date].
  4. [Your full name] was born on [your birth date], to me and my spouse, [your mother’s name].  [Your full name] was born in [your birth city/town, state/province and country].
  5. My spouse [your mother’s name] gave birth to [your full nameand I am giving this sworn statement because no birth certificate/record exists for my [daughter/son] following numerous unsuccessful attempts by my wife and I at locating a birth certificate for our child.
  6. I solemnly swear (affirm) that the above statement is true and correct to the best of my knowledge and belief. I understand giving false testimony under oath in connection with an immigration application is a federal criminal offense that can attract severe terms of imprisonment (18 U.S.C. § 154).

________[Print your father’s full name]________        ________[Date]________

________________[Father’s Signature]_______________


Verification of a Statement on Oath or Affirmation

State of ___________________________________

County of  _________________________________

Subscribed and Sworn to (affirmed) before me this_______ day of ________, 20_____ by __[name(s) of individual(s)]__making statement, personally appeared before me in ___[insert state]___, proved to me on the basis of satisfactory evidence to be the person (s) whose name is subscribed to the within Affidavit and acknowledged to me that he/she executed the same in his/her authorized authority, and who being first duly sworn on oath according to law, deposes and says that he/she has read the foregoing Affidavit subscribed by him/her, and that the matters stated herein are true to the best of his/her information, knowledge, and belief.

I certify under PENALTY OF PERJURY under the laws of  the state of _________________ that foregoing paragraph is true and correct. 

Identifying Document Submitted:

Type: ___________________________________________________

Date of Issuance/Expiration: _______________________________

Document Number: _______________________________________

WITNESS my hand and official seal

__________________________________   (Notary Seal)

Signature of Notarial Officer

My commission expires: _________________________________

The sample documents provided here are for informational purposes only and to be utilized at the user’s discretion. These act as a guide only and the content within these are to be customized as per requirement. While Lawbench covers general guidelines, it does not guarantee access to visas or ensure entry into the United States of America or assure any other form of privileges. Lawbench and its affiliates are not responsible for any losses or damages that may arise from having used these sample documents.