REPUBLIC OF THE PHILIPPINES )PROVINCE OF ________________________ )
CITY OR MUNICIPALITY OF ________________________ )S.S.
AFFIDAVIT OF ONE AND THE SAME PERSON
I, ________ , Filipino , single, of legal age, with address at ________ , after being duly sworn according to law, hereby depose and state that:
1. That I am known by the name, " ________ " and I am currently using the same in my personal and official records and interactions, as shown by the following (a copy of which is attached to this affidavit): Driver's License .
2. That my name, " ________ " was recorded differently or incorrectly as: " ________ ", on the following (a copy of which is attached to this affidavit): Birth Certificate registered at the Civil Registry in ________ .
3. That both the names " ________ " and " ________ ", refer to one and the same person and that said names refer to me.
4. 5 52 252852822 2588 522855882 22 522282 22 252 25525 22 252 225222822 525 225 85522825 82258 25522828 82 252 82582.
8225885 2585858 588558 885285.
_________________________
________
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this _________ day of ______________________, 20______ at CITY OR MUNICIPALITY OF ________________________, ________________________
Affiant, ________ , personally appeared before me and exhibited to me Driver's License no. ________ which is valid until ________ .
Doc. No.: _________
Page No.: _________
Book No.: _________
Series of _________
REPUBLIC OF THE PHILIPPINES )PROVINCE OF ________________________ )
CITY OR MUNICIPALITY OF ________________________ )S.S.
AFFIDAVIT OF ONE AND THE SAME PERSON
I, ________ , Filipino , single, of legal age, with address at ________ , after being duly sworn according to law, hereby depose and state that:
1. That I am known by the name, " ________ " and I am currently using the same in my personal and official records and interactions, as shown by the following (a copy of which is attached to this affidavit): Driver's License .
2. That my name, " ________ " was recorded differently or incorrectly as: " ________ ", on the following (a copy of which is attached to this affidavit): Birth Certificate registered at the Civil Registry in ________ .
3. That both the names " ________ " and " ________ ", refer to one and the same person and that said names refer to me.
4. 5 52 252852822 2588 522855882 22 522282 22 252 25525 22 252 225222822 525 225 85522825 82258 25522828 82 252 82582.
8225885 2585858 588558 885285.
_________________________
________
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this _________ day of ______________________, 20______ at CITY OR MUNICIPALITY OF ________________________, ________________________
Affiant, ________ , personally appeared before me and exhibited to me Driver's License no. ________ which is valid until ________ .
Doc. No.: _________
Page No.: _________
Book No.: _________
Series of _________