Affidavit of Discrepancy
Affidavit of Discrepancy
City/Municipalityof _____________ )x - - - - - - - - - - - - - - - - - - - - - - - x AFFIDAVITOFDISCREPANCY I, _____________ , of legal age,(single / married / widow),Filipino and aresident of _____________ , Philippines, having been duly sworn in accordancewith law, hereby depose and state: That in my Certificate of Live Birth as recorded in the Office of the CivilRegistrar of _____________ City,PhilippinesandSecondaryStudentPermanent Recordat_____________HighSchool,itisstatedthatIwasborn on 2My90 1 a17 at _____________ , Philippines;That my relatives, acting on the honest belief that I was born on21 May1971, had used21 May 1971as my birth date in all pertinent schoolrecords when they processed my enrollment at _____________ in _____________ ;That when I filled up my voter's registration record required by theCommission on Election last _____________ , I had inadvertently anderroneously written the date of my birth as21 May 1971instead of 21May 1970; That I am executing this Affidavit of Discrepancy to attest to the truth of theforegoing facts and to explain the discrepancy in my Certificates of Live Birth, Secondary Student Permanent Record, Transcript of Records and Voter Registration Form as regards to my date of birth;
Further, I am declaring that from this date hereon I would be using my trueand correct date of birth of 21 May 1970 in all my papers, records andother documents
IN WITNESS WHEREOF , I have hereunto set my hand this _____________ , at _____________ , Philippines. AFFIANT (JURAT