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Affidavit of Discrepancy

This document is an Affidavit of Discrepancy from a resident of Bayombong, Nueva Vizcaya, Philippines. The affiant states that there is a discrepancy between their first name as recorded on their Certificate of Live Birth and the name they have used in school records. The affidavit is executed to affirm the correct first name for official documentation purposes.

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Harvey Pugong
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34 views1 page

Affidavit of Discrepancy

This document is an Affidavit of Discrepancy from a resident of Bayombong, Nueva Vizcaya, Philippines. The affiant states that there is a discrepancy between their first name as recorded on their Certificate of Live Birth and the name they have used in school records. The affidavit is executed to affirm the correct first name for official documentation purposes.

Uploaded by

Harvey Pugong
Copyright
© © All Rights Reserved
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)

Province of Nueva Vizcaya) s.s.


Municipality of Bayombong)

AFFIDAVIT OF DISCREPANCY

I, _______________________, married, Filipino and a resident


of _____________________, after having been duly sworn to in
accordance with law, do hereby depose and state that:

1. I was born on ___________________ to parents


____________________. The facts and circumstances of my birth
were duly recorded with the proper authority as shown by my
Certificate of Live Birth; copy of which is hereto attached and formed
an integral part hereof;

2. Since attaining the age of reason, I used or utilized the first name
________________” as my first name in my school records
especially during my high school;

3. However, when I got my Certificate of Live Birth in the National


Statistics Office (NSO) in ___________________________, I
discovered that what was placed in my Certificate of Live Birth as my
first name ____________ instead of ______________

4. Thus, my first name that should have been recorded in my High


School Diploma should be ____________ instead of “__________”
being the correct one which correctly appeared on my Certificate of
Live Birth;

5. I am executing this affidavit to attest to the truth and veracity of the


foregoing averments.

IN WITNESS WHEREOF, I have hereunto set my hand this 24 th


day of ______________.

_______________
Affiant
______________

SUBSCRIBED AND SOWRN TO before me this _____________ay


of ________________ at _________________.

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