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 ________.