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Sample Affidavit of Discrepancy
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REPUBLIC OF THE PHILIPPINES)Province of La Union) S.S.City of San Fernando)x - - - - - - - - - - - - - - - - - - - - - - - x
AFFIDAVIT OF DISCREPANCY
I, ALOYSIUS, FLORENTINO J. AURELIO, of legal age, Filipino, married, and a resident of Pagdalagan Norte, San Fernando City, La Union, Philippines, having been duly sworn in accordance with law, hereby depose and state:
1. That in my Certificate of Live Birth as recorded in the Office of the Civil Registrar of Laoag City, Ilocos Norte, Philippines, my first name that was registered was “ALOYSIUS, FLORENTINO”;
2. Knowing that my name is only “ALOYSIUS”, I had used “ALOYSIUS” only as my first or given name in all pertinent records including all my school records from my grade school to my post graduate studies;
3. That I only recently found out that my correct name was “ALOYSIUS, FLORENTINO” when I secured a certified true copy of my birth certificate from the National Statistics Office (NSO);
4. That I am executing this Affidavit of Discrepancy to attest to the truth of the foregoing facts and to explain the discrepancy in my Certificates of Live Birth, as regards my correct first or given name; and
5. That I further declare that from now on, I will be using my correct first or given name as “ALOYSIUS, FLORENTINO”.
IN WITNESS WHEREOF, I have hereunto set my hand this November 19, 2014, at San Fernando City, La Union, Philippines.
ALOYSIUS, FLORENTINO J. AURELIO AFFIANT
_____________________________________
SUBSCRIBED AND SWORN to before me, this November 19, 2014, by the Affiant who is personally known to me and whom I have identified through competent evidence of identity as noted.
Doc. No. ______;Page No. ______;Book No.______;Series of 2014.
GILBERT RUIZ HUFANANotary Public until December 31, 2015
Roll No. 61392 (03.27.2012)IBP No. 933255 (12.23.2013)
PTR No. 0131447 (01.07.2014)TIN 920-960-030