REPUBLIC OF THE PHILIPPINES)

PROVINCE OF ___________________)
MUNICIPALITY OF ___________________)
x---------------------------------------------x

AFFIDAVIT OF ONE AND THE SAME PERSON

I, ____________________, of legal age, Filipino, single, and residents of Brgy.

_______________________________, after having been duly sworn to in accordance
with law, hereby depose and state:

1. That I was born on February 14, 1972 in ________________ and the fact of
my birth was registered at the Office of the Local Civil Registrar of
________________.;

2. I have been using the name, ________________________, in all my public

and private transactions;

3. When I applied for a bank account at __________________________, I

recorded/enrolled my full name as ____________________;

4. However, when I secured my Certificate of Live Birth, I discovered that the

true and correct spelling of my MIDDLE NAME is TEMARIO, and not
TIMARIO. Attached is a copy of my Certificate of Live Birth;

5. That the names _____________________ and ___________________ are one

and the same person;

6. That I am executing this affidavit to attest to the truth of the foregoing facts
and allegations for the and for all legal intents and purposes it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this __ th day of June

2021, in the ________________________, Philippines.

______________________________________
Affiant
ID NO.

SUBSCRIBED AND SWORN TO before me this __ th day of June 2021, in the

________________________, Philippines.