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REPUBLIC OF THE PHILIPPINES)
Quezon City ) S.S.
AFFIDAVIT OF DISCREPANCY (ONE AND THE SAME PERSON)
I, ______________ of legal age, Filipino, married, resident
_______________________________, after having been duly sworn to in accordance with law, depose and state that:
I _________________ born on 09th day of the December 1982 to
spouses ________________ (deceased) and __________________________
I have been using the name _______________ in all our
documents and transactions;
However, when I process the burial claim of my mother, that I
discovered I don’t have surname appearing ______________________________________
That the name _____________ and ___________________
refer to one and the same person, the herein affidavit
5. I execute this Affidavit of Discrepancy to attest to the truth of the
foregoing facts and to explain the discrepancy in Blu Card Program ID with regards my surname.
IN WITNESS WHEREOF, I have hereunto set my hand this 21st day of July 2024 at Quezon City Philippines.
________________ Affiant
SUBCRIBED AND SWORN TO before me 21st day of July 2023 at
Quezon City, Philippines, affiant exhibiting to me his/her competent evidence of identity by way of __________________ issued at ______________ on __________________.
