I, _________________., of legal age, Filipino, married and residing at ___________________, after having been duly sworn according to law, depose and state:
1. I was born on _____________at _______________, my parents being
the ______________. Accordingly, my birth was duly recorded with the Civil Registry of Manila.
2. That, I was lawfully married to _____________, our
marriage having been solemnized on ____________ at ______________.
3. I have been using the name __________________ in all my
records of important documents, such as, among others, my Marriage Contract, Birth Certificate of my daughter _______________________, drivers license, and other identification cards.
4. Unfortunately, in my Certificate of Live Birth and Passport, my
name appeared as _______________________ instead of _______________________ as appearing in paragraph 3.
5. Through this Affidavit, I hereby declare under oath that my
true and correct name is ________________________ and not ___________________________, as erroneously appearing in paragraph 4. Moreover, the name ___________________ and ________________________- refers to one and the same person.
6. I am executing this Affidavit to attest to the truth and veracity
of the foregoing statements and for whatever legal purposes the same may serve.
AFFIANT SAYETH NAUGHT.
Affiant
SUBSCRIBED AND SWORN to before me this _____________ at City
of ___________________, affiant showing to me his _________________________ issued by the Land Transportation Office and will expire on ___________________.