Scribd Logo
Upload

Welcome to Scribd!

  • 398 views

    Affidavit of Reconciliation of Birth Data

    Uploaded by

    mynameisvinci
    This affidavit reconciles discrepancies between a person's birth certificate and other official documents. The affiant states their full name and birth details. Their birth certificate contains a different spelling of their first, middle, or last name than other documents like school records, SSS, and BIR records. Copies of the birth certificate and other documents are attached. The affiant asserts the names refer to the same person and signs the affidavit to correct the records.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    Affidavit of Reconciliation of Birth Data

    Uploaded by

    mynameisvinci
    398 views2 pages
    This affidavit reconciles discrepancies between a person's birth certificate and other official documents. The affiant states their full name and birth details. Their birth certificate contains a different spelling of their first, middle, or last name than other documents like school records, SSS, and BIR records. Copies of the birth certificate and other documents are attached. The affiant asserts the names refer to the same person and signs the affidavit to correct the records.

    Copyright

    © © All Rights Reserved

    Available Formats

    DOC, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This affidavit reconciles discrepancies between a person's birth certificate and other official documents. The affiant states their full name and birth details. Their birth certificate contains a different spelling of their first, middle, or last name than other documents like school records, SSS, and BIR records. Copies of the birth certificate and other documents are attached. The affiant asserts the names refer to the same person and signs the affidavit to correct the records.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    398 views2 pages

    Affidavit of Reconciliation of Birth Data

    Uploaded by

    mynameisvinci
    This affidavit reconciles discrepancies between a person's birth certificate and other official documents. The affiant states their full name and birth details. Their birth certificate contains a different spelling of their first, middle, or last name than other documents like school records, SSS, and BIR records. Copies of the birth certificate and other documents are attached. The affiant asserts the names refer to the same person and signs the affidavit to correct the records.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    REPUBLIC OF THE PHILIPPINES )

    Province of ____________________ ) S.S.


    City/Municipality of ______________ )
    x---------------------------------------x
    AFFIDAVIT OF RECONCILIATION OF BIRTH DATA
    I, ________________(name of affiant)____________, Filipino, of legal age, [single]/[married to
    _________(name of spouse)_________], and a resident of ___________________(address of
    affiant)_______________, after having been duly sworn in accordance with law, hereby depose
    and state:
    1. That I am the [son]/[daughter] of the couple Mr. _________(name of
    father)___________ and Mrs. ___________(name of mother)______________ and of
    and I was born on __________(date of birth)__________ at ________________(place of
    birth)________________;
    2. That in the birth certificate which I obtained only recently, my [first name]/[middle
    name]/[family name] is spelled as _______________ instead of _______________ to
    which I have been used to as in my school records, SSS, BIR and other public
    documents;
    3. That a copy of said birth certificate which indicated my [first name]/[middle name]/
    [family name] as ____________________ is hereto attached for reference. See Annex
    A;
    4. That a copies of my school records, SSS/GSIS, BIR and other public documents which
    indicated my [first name]/[middle name]/[family name] as ____________________ is
    hereto attached for reference. See Annex B, C, D, and E;
    5. That the names belong to one and the same person, the undersigned affiant herein;
    6. That I am executing this affidavit in order to attest to the truth of foregoing
    circumstances and for the purpose of setting the records straight and declaring that
    _________________ and _________________ refer to one and the same person.
    IN WITNESS WHEREOF, I have hereunto affixed my signature this ____th day of __________,
    20__ , Philippines.
    _________________________________
    (Signature of Affiant over Printed Name)

    SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and for


    _________(City/Province)____________ this ____th day of ____________ 20___.
    Affiant personally came and appeared with _____________(Competent Evidence of
    Identity)______ issued by the _________(Government Agency)______ on ___(date)__
    at ________(place)_________, bearing his photograph and signature, known to me as the
    same person who personally signed the foregoing instrument before me and avowed
    under penalty of law to the whole truth of the contents of said instrument.
    Atty ___________________________________________
    Notary Public

    Doc. No. ____


    Page No. ____
    Book No. ____
    Series of 20__

    Commission Serial No. ____________________________


    Notary Public for _______(Province/City)______________
    Until December 31, 20__
    Office: ______________(address)____________________
    Roll No. __________
    IBP Lifetime Roll No. _________; __/__/__ ; _(Province)_
    PTR No. _________ ; __/__/__ ; _(Province)_
    MCLE Compliance Cert. No. __________; __/__/__

    NOTE: This affidavit is used to explain the discrepancy of the birth certificate against other
    documents such as School Record, BIR, GSIS/SSS, etc.

    You might also like