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003 Affidavit of Discrepancy NAME

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26 views1 page

003 Affidavit of Discrepancy NAME

Uploaded by

Balagot Cloud Office
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOC, PDF, TXT or read online on Scribd
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[Republic of the Philippines]

[City of _________________ ] S.S.


X - - - - - - - - - - - - - - - - - -X

AFFIDAVIT OF DISCREPANCY
(Re: Given Name in SSS ID)

I, __________________________, of legal age, single, Filipino citizens, with


postal _________________________________ City, Philippines, after having duly
sworn to an oath in accordance with law, do hereby depose and say:

That I was born on ___________________________ at


_________________________________ City, as the only child of married spouses
_______________________ and ______________________;

That I am registered in Bureau of Internal Revenue System registered


name of “_______________________________”.

That unfortunately, my first name was erroneously typed


‘’_____________________’’ only instead of ‘’ ______________________’’ in Extra
Judicial that will be used for the Issuance of Electronic Certificate of
Authorizing Registration (CAR 2313).

That I hereby affirm that ‘___________________________” is my true and


correct first name;

That name per EXTRA JUDICIAL notarized by Atty.


________________________ with Doc. No. 67; Book No. 25; Page No.331; Series of
2010 and ______________________________________ and per certificate of live
birth both refer to as one and the same person;

That I am executing this affidavit to attest to the truth of the foregoing


and for all legal intents and purposes that this may serve under the law;

IN WITNESS WHEREOF, I have hereunto set my hand this_____________


day of _________, 2021 at Zamboanga City, Philippines.

__________________________
Affiant
SSS No. ______________

SUBSCRIBED AND SWORN to before me this __________ day of ________,


_______________at Zamboanga City, Philippines.

Doc. No. _____;


Page No. _____;
Book No. _____;
Series of 2021.

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