Affidavit Format, One and The Same Person

______________________________________________________________________________

REPUBLIC OF THE PHILIPPINES)

C I T Y OF _______________________)S.S.
x-------------------------x
Affidavit
I, (insert name of affiant) , Filipino, of legal age, single/married to (insert name
of spouse if any), and a resident of (insert address of affiant), and I (insert
name of affiant) , Filipino, of legal age, single/married to (Insert Name of
Spouse if any), and a resident of (insert address of affiant), after having been
duly sworn in accordance with law, do hereby depose and say:
1. That we personally know ____________________________ who was born on
__________________, at ___________________ to parents _________________ and
_____________________;
2. That we likewise fully know that he/she was baptized according to the rites
of (the Roman Catholic church/or whatever religious denomination) at
__________________________;
or- That we likewise fully know that he/she is a bonafide member of the Social
Security System with SS Number __________________; or- That he/she is a
graduate of __________________;
3. That in his/her (Baptismal Certificate/SSS records/school records, etc.),
certain errors appear such as _____________________________ which should be
____________________________;
4.
That
___________________________
(erroneous
entry)
and
___________________________________ (correct entry) pertain to one and the same
person who should be _______________________________ (correct entry);
5. That we are not in any way related to any of the foregoing persons within the
fourth civil degree either by consanguinity or affinity, nor do we have any
pecuniary interest in this matter whatsoever.

6. That we are executing this Affidavit to attest to the truthfulness of the

foregoing statements and to establish the fact that ___________________________
(erroneous entry) and ___________________________________ (correct entry)
pertain
to
one
and
the
same
person
who
should
be
_______________________________ (correct entry) and for whatever legal purpose
this may serve best.
Further Affiant sayeth none.
IN WITNESS WHEREOF, I have hereunto affixed my signature this ......... day of
..................... , 20__ in ..................................... Philippines.
_________________________________________
__________________________________________ (Signature of Affiant over Printed
Name) (Signature of Affiant over Printed Name)
SUBSCRIBED AND SWORN before me this........ day of ........................... 20__,
by
.............................................
who
exhibited
to
me
his
CTC
No.
...................................
issued
on
.................................
at ...........................................

Notary Public
Doc. No. .........:
Page No. .........;
Book No. .........;
Series of 20__.