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Affidavit of Discrepancy

The document is an affidavit stating that the affiant's name is different than what appears on their birth certificate and passport but that both names refer to the same person. The affiant wishes to use either name for legal purposes.

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88 views2 pages

Affidavit of Discrepancy

The document is an affidavit stating that the affiant's name is different than what appears on their birth certificate and passport but that both names refer to the same person. The affiant wishes to use either name for legal purposes.

Uploaded by

HR Legal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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AFFIDAVIT OF DISCREPANCY 

IN NAME

I, _____________________, of legal age, married, and with address at


______________________________________________________, under oath,
state:
1. THAT my name is ____________________ as stated and registered in my
birth certificate issued by office of the Civil Registry of
______________________. A copy of my birth certificate is hereto attached as
ANNEX “A”;
2. THAT the name ___________________also appears in my passport which
was issued based on the data appearing in my birth certificate. A copy of the
page of my passport where my name and picture appears is hereto attached as
ANNEX “B”;
3. THAT since childhood, my friends and acquaintances call me ________and
thus since then I have been accustomed to using the
name ____________________in my personal records, transactions and
communications;
4. THAT the name ____________________ and _____________________ refer
to one and the same person, the herein Affiant;
5. THAT I am executing this Affidavit to attest to the truth of the foregoing facts
and to use the same for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I hereunto affix my signature this _________________


at Makati City.

________________________
Affiant

SUBSCRIBED AND SWORN to before me this _______________ at Makati City,


Affiant exhibiting to me his Passport bearing No.
______________________________ issued at ______________ on
_________________.

Doc No. ________;

Page No. _______ ;


Book No. _______;

Series of ________.

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