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Affidavit of Discrepancy - Date of Birth

This document is an affidavit explaining a discrepancy in the affiant's date of birth. It states that the affiant's birth date according to official records is different than what was used for school records. It further explains that the affiant inadvertently listed the wrong birth date on voter registration forms. The affiant swears that the true birth date according to official records is correct and will be used from now on in all documents. The affidavit is intended to explain the discrepancy between the various records regarding the affiant's date of birth.

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42 views1 page

Affidavit of Discrepancy - Date of Birth

This document is an affidavit explaining a discrepancy in the affiant's date of birth. It states that the affiant's birth date according to official records is different than what was used for school records. It further explains that the affiant inadvertently listed the wrong birth date on voter registration forms. The affiant swears that the true birth date according to official records is correct and will be used from now on in all documents. The affidavit is intended to explain the discrepancy between the various records regarding the affiant's date of birth.

Uploaded by

JulPadayao
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 _________________________) S.S.


City/Municipality of ______________)
x - - - - - - - - - - - - - - - - - - - - - - - - -x

AFFIDAVIT OF DISCREPANCY OF DATE OF BIRTH

I, , of legal age, , Filipino and


a resident of
, Philippines, having been duly sworn in accordance with law, hereby depose and
state:

1. That in my Certificate of Live Birth as recorded in the Office of the Civil Registrar
of _____________ City, Philippines and Secondary Student Permanent Record at
_____________ High School, it is stated that I was born on
at ____________________________________, Philippines;

2. That my relatives, acting on the honest belief that I was born on


, had used as my birth date in all pertinent school records
when they processed my enrollment at
in ;

3. That when I filled up my voter's registration record required by the Commission


on Election last , I had inadvertently and erroneously
written the date of my birth as instead of ;

4. That I am executing this Affidavit of Discrepancy to attest to the truth of the


foregoing 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;

5. Further, I am declaring that from this date hereon I would be using my true and
correct date of birth of in all my papers, records and
other documents.

IN WITNESS WHEREOF, I have hereunto set my hand this _____________, at


_____________, Philippines.

Affiant

SUBSCRIBED AND SWORN to before me, this , by the


Affiant whom I have identified through competent evidence of identity and who exhibited
his issued at on ____
_________.

Doc. No. ______;


Page No. ______;
Book No.______;
Series of 20____.

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