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Affidavit of Discrepancy-Middle Name

This affidavit explains a discrepancy in the affiant's middle name on their birth certificate. Specifically, their middle name was incorrectly recorded as "CRUX" instead of their true middle name of "CRUZ". They state that all other documents, including school records, use their correct middle name of "CRUZ". The affiant executes this affidavit to attest to the truth of the facts and explain the discrepancy regarding their true middle name.

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Hans Chua
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3K views2 pages

Affidavit of Discrepancy-Middle Name

This affidavit explains a discrepancy in the affiant's middle name on their birth certificate. Specifically, their middle name was incorrectly recorded as "CRUX" instead of their true middle name of "CRUZ". They state that all other documents, including school records, use their correct middle name of "CRUZ". The affiant executes this affidavit to attest to the truth of the facts and explain the discrepancy regarding their true middle name.

Uploaded by

Hans Chua
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
  • Affidavit of Discrepancy
  • Affiant and Jurat

(Affidavit of Discrepancy - Middle Name)

REPUBLIC OF THE PHILIPPINES)

Province of ____________________) S.S.

City/Municipality of _____________)

x-----------------------x

AFFIDAVIT OF DISCREPANCY

I, _____________, of legal age, Filipino, (single / married / widow), and a resident of


_____________, Philippines, having been duly sworn in accordance with law, hereby depose and state:

1. That in my Certificate of Live Birth as recorded in the Office of the Civil Registrar of
_____________ City, Philippines, my middle name was erroneously written as "CRUX"
instead of my true and correct middle name of "CRUZ";

2. That my true middle name is "CRUZ" as appearing in the same Certificate of Live as
the maiden name of my mother.

3. That in all pertinent documents which I had used, to include that of my scholastic
records (transcript of records), I used my true and correct middle name of "CRUZ";

4. That I am executing this Affidavit of Discrepancy to attest to the truth of the


foregoing facts and to explain the discrepancy in my Certificates of Live Birth, as
regards my true middle name.

IN WITNESS WHEREOF, I have hereunto set my hand this _____________, at _____________,


Philippines.
AFFIANT

(JURAT)

(Affidavit of Discrepancy - Middle Name) REPUBLIC OF THE PHILIPPINES) Province of ____________________) S.S. City/Municipali
AFFIANT (JURAT)

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