Form 5 - Afffidavit of Discrepancy (Date of Birth)
Dela Cruz filed an affidavit to correct a discrepancy in the date of marriage listed for his parents on his birth certificate. The birth certificate incorrectly listed the date of marriage as August 19, 2012 when it should be August 20, 2012, as shown on his parents' marriage certificate. Dela Cruz swore in the affidavit that the discrepancy was an inadvertent mistake and executed it to attest to the truth of the facts.
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Form 5 - Afffidavit of Discrepancy (Date of Birth)
Dela Cruz filed an affidavit to correct a discrepancy in the date of marriage listed for his parents on his birth certificate. The birth certificate incorrectly listed the date of marriage as August 19, 2012 when it should be August 20, 2012, as shown on his parents' marriage certificate. Dela Cruz swore in the affidavit that the discrepancy was an inadvertent mistake and executed it to attest to the truth of the facts.
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REPUBLIC OF THE
PHILIPPINES) CITY OF BAGUIO ) S.S.
AFFIDAVIT OF DISCREPANCY (DATE OF MARRIAGE OF
PARENTS)
I, DELA CRUZ, of legal age, Filipino, single and presently residing at
Rimando Road, Baguio City after having been duly sworn to in accordance with law, depose and state:
1. That I was born to the spouses and on September 15, 1993 in
Kabugao, Apayao, Philippines, as evidenced by the Certificate of Live Birth issued by the Civil Registrar of Kabugao, Apayao; 2. That in my birth certificate, the date of marriage of my parents was erroneously written as August 19, 2012, instead of the true and correct date August 20, 2012 as evidenced by the Certificate of Marriage of my parents issued by the Civil Registrar of Baguio City, hereto attached as Annex “A”; 3. That the discrepancy was a mistake done inadvertently; and, 4. That I am executing this affidavit to attest to the truth of the foregoing facts.
IN WITNESS WHEREOF, I have hereunto set my hand this 17th
day of January 2017 in Baguio City, Philippines.
Affiant
SUBCRIBED AND SWORN TO, personally before me this 17th
day of January 2017 in Baguio City, Philippines, affiant exhibiting to me his Philippine Passport No. issued in Baguio City on July 2, 2013 and valid until July 1, 2018.