REPUBLIC 

OF THE PHILIPPINES)
CITY OF PARAÑAQUE ) S.S.
x-------------------------------------------x
  
AFFIDAVIT OF DISCREPANCY RE: ONE AND THE SAME PERSON

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

______________________________________, after having been duly sworn to in
accordance with law, depose and state THAT:

1. My complete and legal name is ________________________________ and

born on ________________________________;

2. In my Certificate of Live Birth and other government records, it is stated

that my true and correct name is _______________________________;

3. That upon checking my record at the ___________________________________

my name as appearing therein is ______________________________
(improper spelling);

4. That the erroneous name ______________________ as recorded at the

____________________________________ and my true and correct name
____________________________________ as recorded at Philippine Statistics
Authority (PSA) and other government records are all belonging to one
and the same person, the herein affiant; and

5. As such, I am executing this Affidavit to attest to the truth of the

foregoing and for all legal intents and purposes it may serve.

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

___________________ in Parañaque City, Metro Manila, Philippines.

______________________________
AFFIANT
 
SUBSCRIBED AND SWORN to before me, this day of _______________ in
Parañaque City, by the affiant who has exhibited to me his/her
______________________ with No. _________________________________ as competent
proof of his identity.

WITNESS MY HAND AND SEAL

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 202__.