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Affidavit of Discrepancy: (For Place of Birth)

1. The affidavit details discrepancies between the affiant's place of birth as registered on their birth certificate and as used on personal and official documents throughout their life. 2. The affiant lists the places of birth used on different documents and aims to correct their registered place of birth to reflect their true place of birth. 3. The affidavit was sworn before a administering officer at the Philippine Consulate General in Jeddah, Kingdom of Saudi Arabia.

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433 views1 page

Affidavit of Discrepancy: (For Place of Birth)

1. The affidavit details discrepancies between the affiant's place of birth as registered on their birth certificate and as used on personal and official documents throughout their life. 2. The affiant lists the places of birth used on different documents and aims to correct their registered place of birth to reflect their true place of birth. 3. The affidavit was sworn before a administering officer at the Philippine Consulate General in Jeddah, Kingdom of Saudi Arabia.

Uploaded by

ging
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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AFFIDAVIT OF DISCREPANCY

(for Place of Birth)

I, _________________________________________________________, Filipino citizen, of legal age,


single/married/widowed, with Philippine address at _______________________________________________,
and presently residing in ___________________________________________________________________,
after having been duly sworn in accordance with law, hereby depose and say:

1. That my place of birth is ______________________________________, as stated and registered


in my Certificate of Live Birth with Registry no.: __________________________ reported at
__________________________________________ on _________________________________;

2. That during my childhood and adult years, I have been accustomed to the use of
____________________________ as my place of birth;

3. That I have used the place of birth, ___________________________________, in the following


personal and official documents: a) _________________________________________________,
b) _____________________________________, c) ____________________________________;
4. That, in my _________________________________________, I have used another place of birth,
____________________________ due to _____________________________________________
______________________________________________________________________________;
5. That I am undertaking to cause the correction of my place of birth appearing in my
__________________________ to reflect my true date of birth as _________________________;
and,
6. That I am executing this Affidavit to clear any discrepancy which may arise from personal and
official documents.

FURTHER AFFIANT SAYETH NONE.

IN WITNESS WHEREOF, I have hereunto set my hand this ______ day of ____________________
20___ at the Philippine Consulate General, Jeddah, Kingdom of Saudi Arabia.

__________________________
Signature of Affiant

Witnesses:

1. __________________________________ 2. __________________________________

x---------------------------------------------------------------------------------------------------------------------------------------------------x
FOREIGN SERVICE OF THE PHILIPPINES )
Consulate General of the Philippines ) S.S.
Jeddah, Kingdom of Saudi Arabia )

SUBSCRIBED AND SWORN TO before me this ____ day of _____________________ 20___ at the
Philippine Consulate General, Jeddah, Kingdom of Saudi Arabia.

Doc. no. : __________


Service no. : __________
Series of : __________
O.R. no. : __________ __________________________
Date : __________ Administering Officer

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