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Affidavit of Discrepancy

This document is an Affidavit of Discrepancy for Date of Birth, where the affiant states their birth date as recorded in various documents and addresses discrepancies. The affiant provides details about their birth certificate, baptism certificate, and the date they have been accustomed to using. The affidavit is executed to confirm the truth of these statements and to resolve any inconsistencies in official records.

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

Affidavit of Discrepancy

This document is an Affidavit of Discrepancy for Date of Birth, where the affiant states their birth date as recorded in various documents and addresses discrepancies. The affiant provides details about their birth certificate, baptism certificate, and the date they have been accustomed to using. The affidavit is executed to confirm the truth of these statements and to resolve any inconsistencies in official records.

Uploaded by

phccntnt
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 )

City/Municipality of __________________ ) S.S.

AFFIDAVIT OF DISCREPANCY

For Date of Birth

I, _________________________________, Filipino, of legal age, married, and presently


residing at
______________________________________________________________________________
_____________, after having been sworn in accordance with law, do hereby depose and state:

1. That I acquired a copy of my Birth Certificate from the Philippine Statistics


Authority, which states that I was born on __________________;

2. That I also obtained a copy of my Certificate of Baptism, issued by


_______________________________, which states that I was born on
___________;

3. That during my childhood years, my parents represented to me, as well as in my


school and other official records, that I was born on ___________________;

4. That from my childhood until my adult years, I was accustomed to indicating in all
my official records that my year of birth was _________, rather than ________; and

5. That I am executing this Affidavit to attest to the truth of the foregoing facts and to
address any discrepancies that may arise from my official documents which bear the
date of my birth as “______________”.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ___ day of


________, 2025 at ________________________, Philippines.

_______________________________
Affiant

SUBSCRIBED AND SWORN to before me this ___ day of _______________, 2025 at


__________________, Philippines, Affiant exhibiting to me his/her ______________________
issued on _______________ and valid until _______________ .

NOTARY PUBLIC

Doc. No. :____;


Page No. :____;
Book No. :____;
Series of _____.

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