AFFIDAVIT OF DISCREPANCY IN SSS RECORDS AGAINST BIRTH DOCUMENTS SAMPLE
Affidavit of Discrepancy Discovered in the SSS Records Against Birth and Baptismal
Republic of the Philippines )
City of Makati ) S.S.
AFFIDAVIT OF DISCREPANCY
We, MR. BOZ T. OTAMA, of legal age, Filipino, single/married, and a resident of Kalachuchi Nalaglag, Bohol, after having been duly sworn to, in accordance with law, do hereby depose and state that:
- I am the same identical person executing the instant affidavit;
- Certain discrepancy was discovered in my Social Security System (SSS) records. It is stated in the SSS records and files that my name is Bozdi T. Otama which is not correct since my name is spelled as Boz T. Otama;
- My name Boz T. Otama is reflected in all my pertinent documents such as passport, NSO Birth Certificate and Baptismal Certificate;
- The names Boz T. Otama and Bozdi T. Otama pertain to one and the same person which is the affiant herein;
- This affidavit is being executed to attest to the truth of the foregoing statements and to establish my true, correct and real name and that it is correctly spelled as Boz T. Otama and not Bozdi T. Otama, and for whatever legal purposes it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this 14th day of April 20___ in the City of Makati.
BOZ T. OTAMA
SUBSCRIBED AND SWORN to, this 14th day of April 20____, the affiant personally appeared and presented to me her competent evidence of identity shown above.
Doc. No.: __________;
Page No.: __________;
Book No.: __________;
Series of 20___