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Affidavit of Supplemental Report

This document is an affidavit filed by a Filipino citizen to correct the first name on their birth certificate. It states that the individual was registered at birth with the first name "BABY" due to their parents' uncertainty in choosing a name. However, they have used a different first name their whole life as shown on other legal documents. The purpose of the affidavit is to register their true first name with the local civil registrar and national statistics office. It aims to rectify the inadvertent error made at the time of birth registration.

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Lecel Llamedo
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6K views

Affidavit of Supplemental Report

This document is an affidavit filed by a Filipino citizen to correct the first name on their birth certificate. It states that the individual was registered at birth with the first name "BABY" due to their parents' uncertainty in choosing a name. However, they have used a different first name their whole life as shown on other legal documents. The purpose of the affidavit is to register their true first name with the local civil registrar and national statistics office. It aims to rectify the inadvertent error made at the time of birth registration.

Uploaded by

Lecel Llamedo
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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REPUBLIC OF THE PHILIPPINES) City of Cebu) S.S.

x--------------------------x AFFIDAVIT OF SUPPLEMENTAL REPORT I, _____________________, Filipino, of legal age, married and a resident of ___________________________________, Philippines having been duly sworn in accordance with law, hereby depose and state:

1. That I was born on ____________________, at Cebu Maternity House,


Cebu City, Philippines to the spouses _____________________ and _______________________;

2. That since birth until present, I have been using the name
___________________ as evidenced in my baptismal certificate, school records and representation in the community;

3. That when I secured a copy of my Certificate of Live Birth with the National Statistics Office under Registry Number _________________, it was shown that I was registered therein with a first name BABY; 4. That it is my desire to register in the said Office of the Civil Registrar and National Statistics Office (NSO) with a first name _________________;

5. That the failure to state my true and correct name was purely due to the inadvertence of my parents who failed to do so because of their uncertainty in deciding as to what name would be given to me at the time of the registration of the facts of my birth with the said office; 6. As such, I execute this Affidavit to certify or attest to the truth of the foregoing facts and to process the registration of the above mentioned name with the Office of the Cebu City Civil Registrar and National Statistics Office and for whatever legal purpose that this Affidavit may serve. IN WITNESS WHEREOF, I have set my hand this 1st day of March, 2012, in Cebu City, Philippines. ____________________________ AFFIANT SSS I.D. No. ______________________ Issued at Cebu City SUBSCRIBED AND SWORN to before me, this 1st day of March, 2012 by the Affiant whom I have identified through competent evidence of identity and who exhibited her Government Issued Identification Number as per description appearing below her name. Doc No.: _____; Page No.: _____; Book No.: _____;

Series of: 2012.

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