Republic of the Philippines)

______________________) s.s.

AFFIDAVIT OF EXPLANATION

I, ___________________, of legal age, Filipino, and a resident of

________________ after having been sworn to in accordance with law, do hereby depose
and state:

1. That on __________________, my husband _____________ and I were

married at ___________________;

2. That unfortunately my true and correct name which is ____________ was

erroneously indicated in our marriage contract as ____________;

3. That at the time that I signed the said marriage contract at the time of our
marriage, there was already a typewritten name “___________” on said
marriage contract;

4. That being young at that time and not knowing what to do especially during
the marriage ceremony, I inadvertently and in good faith signed the said
marriage certificate as “_______________”;

5. That I am attaching herewith the Affidavit of Two Disinterested Persons to

show proof that my true and correct name is in fact _______________;

6. That I am executing this Affidavit to attest to the truth of the foregoing facts
and to utilize the same for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I hereunto set my hand this ______________ at

______________.

_____________________
Affiant

SUBSCRIBED AND SWORN to before me this _________________ at

_________________, affiant exhibiting to me her _______________ as proof of her
identity, who is the same person who personally signed before me the foregoing affidavit
and acknowledged to me that she executed the same.

Doc. No. ________;

Page No. ________;
Book No.________;
Series 2018.