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Discrepancy

The document is an Affidavit of Discrepancy where an individual declares inconsistencies in their name across various official documents, including their Certificate of Live Birth and School Records. The affiant states their true name as recorded on their Certificate of Baptism and aims to clarify any discrepancies that may arise from the differing names. This affidavit is executed to attest to the truth of the stated facts and is signed in the presence of a notary public.

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Jolina Casing

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0% found this document useful (0 votes)

7 views1 page

Discrepancy

Uploaded by

Jolina Casing

We take content rights seriously. If you suspect this is your content, claim it here.

Available Formats

Download as DOCX, PDF, TXT or read online on Scribd

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REPUBLIC OF THE PHILIPPINES )

KALINGA PROVINCE ) S.S.

x---------------------------------------------x

AFFIDAVIT OF DISCREPANCY
I, _________________, of legal age, Filipino, with residential address at
________________________________, after having been duly sworn to in
accordance with law, hereby depose and state:

1. That my name in ___ recorded as ;

2. That on my PSA Certificate of Live Birth and School Records my name

registered as _______________;

3. That on my parent’s Marriage Contract it was registered their names

as __________________;

4. That on the Certificate of Live Birth of my siblings registered as their

Middle Name (__________________;

5. That there is a discrepancy of my middle name and Last name on my

Certificate of Live Birth and School Records;

6. That In all pertinent documents which I had used, to include all of my

scholastic records and all my government issued Identification Cards, I
used the names ________________________________;

7. That my true and correct name is _______________ as recorded on my

Certificate of Baptism;

8. That I am executing this Affidavit to attest to the truth and veracity of

the foregoing facts and to clear any discrepancy which may arise from
official documents bearing either name “_________________ and
____________________”.
IN WITNESS WHEREOF, I have hereunto affixed my signature this 19 th
day of March 2025 in ______________________.

_______________________
Affiant
SUBCRIBED AND SWORN TO before me this 19th day of March
2025 in ___________________, affiants exhibiting to me her Philippine
Identification Card as proof of his identity, known to me to be the same
persons who executed the foregoing Affidavit of discrepancy.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2025.

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Discrepancy

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REPUBLIC OF THE PHILIPPINES )

KALINGA PROVINCE ) S.S.

1. That my name in _______________ recorded as ____________;

2. That on my PSA Certificate of Live Birth and School Records my name

3. That on my parent’s Marriage Contract it was registered their names

4. That on the Certificate of Live Birth of my siblings registered as their

5. That there is a discrepancy of my middle name and Last name on my

6. That In all pertinent documents which I had used, to include all of my

7. That my true and correct name is _______________ as recorded on my

8. That I am executing this Affidavit to attest to the truth and veracity of

Doc. No. _____;

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1. That my name in ___ recorded as ;