REPUBLIC OF THE PHILIPPINES  )
CITY/MUNICIPALITY OF ________ ) S.S.

AFFIDAVIT OF ONE AND THE SAME PERSON

I, ________, of legal age, ________, ________ citizen, and a resident of ________, after having been duly sworn to in accordance with law, do hereby depose and state THAT:

§ 1. I am the same person known and presently using the name “________” in my personal and official records, transactions, and dealings, as evidenced by the following competent proof of identity, a photocopy of which is hereto attached and made an integral part hereof: ________ bearing identification number ________.

§ 2. My name “________” was, however, recorded, spelled, or otherwise reflected differently or incorrectly as “________” in the following document, a photocopy of which is likewise hereto attached and made an integral part hereof: ________ bearing identification number ________.

§ 3. The discrepancy in the foregoing names arose by reason of ________, and the same was made without any intention to defraud, mislead, or prejudice any person, government agency, or entity whatsoever.

§ 4. The names “________” and “________” refer to and pertain to one and the same person, and that person is myself, the herein affiant.

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IN WITNESS WHEREOF, I have hereunto set my hand this ________ day of ________ at ________, Philippines.

_________________________
________
Affiant

SUBSCRIBED AND SWORN TO before me this ________ day of ________ at the City/Municipality of ________, Province of ________, Philippines, by the affiant ________, who personally appeared before me and who is personally known to me or identified to me through the following competent evidence of identity pursuant to the 2004 Rules on Notarial Practice: ________, and who represented to me that the foregoing is his/her free and voluntary act and deed.

WITNESS MY HAND AND SEAL on the date and at the place above written.

_________________________
NOTARY PUBLIC

Doc. No.: ________;
Page No.: ________;
Book No.: ________;
Series of ________.