0% found this document useful (0 votes)
45 views1 page

Affidavit of Discrepancy

Download as doc, pdf, or txt
Download as doc, pdf, or txt
Download as doc, pdf, or txt
You are on page 1/ 1

REPUBLIC OF THE PHILIPPINES)

IN THE CITY OF DAVAO . . . . .)S.S.

AFFIDAVIT OF DISCREPANCY

I, [name], of legal age, [civil status], Filipino and a resident of [address], after having
been duly sworn to in accordance with law, do hereby depose and state that:

1. I was born [name] on [date] in [hometown address] to parents [names of parents], who
were already married at the time of my birth. Attached as Annex “A” is a copy of my
Philippine Statistics Authority (PSA) Certificate of Live Birth.

2. My last name appearing in my Marriage Contract is misspelled as [misspelled name]


instead of [correct name]. Also, the first name of my mother appearing in the same
Contract is misspelled as [misspelled name] instead of [correct name]. Attached as Annex
“_____” is a copy of my Marriage Contract.

3. The said erroneous entry in my Marriage Contract relate to the correct information found
in my Certificate of Live Birth. The dissimilar entries refer to the same persons.

4. I am executing this Affidavit to attest to the truth of the foregoing.

IN WITNESS WHEREOF, I have hereunto set forth my hand this 22 nd day of March
2019 in Davao City, Philippines.

[name]
Affiant
[identification card presented]

SUBSCRIBED AND SWORN TO BEFORE ME this _____ in


____________________.

Doc. No.
Page No.
Book No.
Series of 2020

You might also like