Affidavit of Discrepancy Sample

Republic of the Philippines
City/Municipality of [City/Municipality]
Province of [Province]
AFFIDAVIT OF DISCREPANCY
I, [Full Name], of legal age, Filipino, single/married, and a resident of [Address], after having been duly sworn in accordance with law, hereby depose and state that:
1. I am the bearer of the following identification documents:
   - [Identification Document #1] bearing my name as [Name in Document #1]
   - [Identification Document #2] bearing my name as [Name in Document #2]
   - [Any other relevant document] bearing my name/date of birth as [Name/Date of Birth in the Document]
2. I have discovered that there is a discrepancy in my name/date of birth/place of birth as it appears in the above-mentioned documents.
3. The correct spelling of my name is [Correct Name], my correct date of birth is [Correct Date of Birth], and my correct place of birth is [Correct Place of Birth] (whichever is applicable).
4. The discrepancy occurred due to [State the reason for the discrepancy, such as clerical error, inadvertent mistake, or any other reason].
5. I have not used nor intend to use the discrepancy in my name/date of birth/place of birth for fraudulent purposes or to cause damage or prejudice to anyone.
6. This affidavit is being executed to attest to the truth of the foregoing facts and to request the relevant government agencies and private institutions to correct the discrepancy in my records.
IN WITNESS WHEREOF, I have hereunto set my hand this [Date] at [City/Municipality, Province], Philippines.
[Signature over printed name of the Affiant]
SUBSCRIBED AND SWORN to before me this [Date], the affiant exhibiting to me his/her competent evidence of identity by way of [Identification Document presented to the notary public] bearing his/her photograph and signature and issued on [Issue Date of the ID].
[Notary Public's Signature and Seal]
Doc. No. _______;
Page No. _______;
Book No. _______;
Series of _______.

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