Affidavit of Discrepancy Sample

Affidavit of Discrepancy Sample

Affidavit of discrepancy is provided herein as a sample for those whose personal information in two or more documents differs.

Republic of the Philippines)
City of Makati                  ) S.S.

AFFIDAVIT OF DISCREPANCY

I, JUAN DELA CRUZ, of legal age, Filipino, and a resident of Unit 13413414 MET Dela Rosa St., Pio Del Pilar, Makati City, after having been duly sworn to, in accordance with law, do hereby depose and state that:

  1. I was born in ____________________, as shown in my birth certificate;
  2. I registered for the “Voter’s Registration” in Makati City on November 11, 20____. This February 20, 20____, I requested for the issuance of Voter’s Certification;
  3. However, I was surprised to find in the Voter’s Certification in the place of birth portion that my place of birth is _____________________ which is not correct as compared with my birth certificate;
  4. The erroneous entry in the place of birth is not caused by me and no malice or bad faith was present in such error;
  5. Hence, the person named JUAN DELA CRUZ who was born in __________________, as shown in the birth certificate and person named JUAN DELA CRUZ with erroneous place of birth in _________________________, as shown by the Voter’s Certification, pertain to one and the same person which is the affiant herein;
  6. This affidavit is being executed to attest to the truth of the foregoing statements and to establish the fact that the different places of birth referred to in the two documents mentioned pertain to one and the same person. This was executed for purposes of correcting the “Place of Birth” entry in the Voter’s Certification.

AFFIANT SAYETH FURTHER NAUGHT.

IN WITNESS WHEREOF, I have hereunto set my hand this 20th day of February 20___ in the City of Makati.

 

JUAN DELA CRUZ
Affiant
ID: _____________________

 

SUBSCRIBED AND SWORN to, this 20th day of February 20______, the affiant personally appeared and presented to me his competent evidence of identity shown above.

 

 

Doc. No.: __________;
Page No.: __________;
Book No.: __________;
Series of 20____

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