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Affidavit of Discrepancy

When your name, birth date or another detail is written differently in two documents. You state the correct entry and swear that both documents refer to you.

You

In years, for example 34.

The Discrepancy

For example, my PSA Birth Certificate, Registry No. 2001-1234.

Copy it exactly, for example JUAN DELA CRUZ SANTOS, or 5 March 1990.

For example, my SSS records, or my Transcript of Records from Batangas State University.

Copy it exactly, for example JUAN D. SANTOS, or 3 May 1990.

Usually the one in your PSA Birth Certificate.

For example: the school wrote only my middle initial. Leave it empty to skip.

Purpose

For example, my SSS retirement claim, or my passport application.

Where

ID

For example, PhilSys ID No. 1234-5678-9012-3456.

What you type is kept on this device only, so you can come back and finish later. Nothing is sent anywhere. Press Clear to erase it, especially on a shared phone or computer.

REPUBLIC OF THE PHILIPPINES )
city or municipality ) S.S.

AFFIDAVIT OF DISCREPANCY

I, full name, age years old, Filipino, civil status, and residing at home address, after having been duly sworn in accordance with law, hereby depose and state that:

  1. In first document, my detail appears as entry in first document;
  2. In second document, my detail appears as entry in second document;
  3. My correct detail is correct entry;
  4. Both documents refer to one and the same person, myself, and the difference between them is an error that does not refer to any other person;
  5. I am executing this affidavit to attest to the truth of the foregoing and to support purpose, and for whatever other lawful purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of ______________ 20___ at city or municipality, Philippines.

full name
Affiant

SUBSCRIBED AND SWORN to before me this ____ day of ______________ 20___ at city or municipality, Philippines, affiant exhibiting to me ID type and number as competent evidence of identity.

Doc. No. ______;
Page No. ______;
Book No. ______;
Series of 20___.

NOTARY PUBLIC

Before You Print

  • Not legal advice. This is a general form. For your own situation, consult a lawyer, especially if your case is unusual or a lot of money is involved.
  • You will swear before the notary that it is true, then sign (this is called a jurat).
  • Do not sign it yet. You sign in front of the notary, with a valid government ID.
  • This affidavit explains the difference. It does not correct a PSA or civil registry record. A wrong entry in a Birth, Marriage or Death Certificate is fixed by filing a request (a petition) at the Local Civil Registrar, or in some cases in court. See the guide Correcting a PSA record.
  • Bring both documents, or copies, when you have it notarized. The office asking for the affidavit may want copies attached.
  • Only sign it if it is true. Swearing to something you know is false is perjury, a crime under the Revised Penal Code.

What notarizing it usually costs →

For the steps around this document, see the guide Correcting a PSA certificate.

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