REPUBLIC OF THE PHILIPPINES }

CITY OF MANILA } s.s.

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

AFFIDAVIT OF ONE AND THE SAME PERSON

I,_______________________________________, of legal age, married and

with residence at 1175 J. Nakpil, Paco, Manila, after having been duly sworn to in
accordance with law, do hereby depose and state that:

1. My name as appearing in my Certificate of Live Birth is

__________________________. Hence, I have been using the
same since birth up to the present in my public and private
dealings.

2. Unfortunately, when I applied for my Philippine Passport,

my name appeared to be __________________when it should
be____________________.

3. Likewise, when I secured a copy of the Certificate of Live

Birth of my daughter, _________, from the Philippine
Statistics Authority, I was surprised to learn that my name
as appearing therein is________________, and not the correct
spelling of my name which is______________;

4. With the foregoing, I attest that_______________, is one and

the same person as ___________________
and___________________, who is a child
of________and____________;

5. I am executing this Affidavit to attest to the veracity of the

foregoing and for any legal purpose it may serve.

IN WITNESS HEREOF, I have hereunto set my hand this ___ day of

_________________2020 here in the City of Manila.

Affiant

SUBSCRIBED AND SWORN to before me by affiant who appeared before

me and exhibited to me his _____________________________this ___ day of __________ 2020 in
the City of Manila, Philippines.

Notary Public

Doc. No. ___;

Page No. ___;
Book No. ___;
Series of 2020.