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Affidavit of One and the Same Person

When your name is written in two or three different ways in your records, for example with or without a middle name or a suffix. You swear that all of them refer to you.

You

In years, for example 34.

For example, 5 March 1990.

For example, Lipa City, Batangas.

The Names

For example, JUAN D. SANTOS.

For example, my SSS records and my Pag-IBIG membership.

For example, JUAN SANTOS JR.

For example, my land title, TCT No. T-123456.

Leave it empty if there are only two.

Purpose

For example, the transfer of the title to my name, or my bank account update.

Where

ID

For example, Philippine passport No. P1234567A.

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 ONE AND THE SAME PERSON

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. I was born on date of birth at place of birth, and my name as it appears in my Birth Certificate is full name;
  2. In some of my records my name is written differently, as follows:
    1. first name variant, in document;
    2. second name variant, in document;
  3. The names full name, first name variant and second name variant all refer to one and the same person, myself, and not to any other person;
  4. 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 that the names belong to one person. It does not change or correct a PSA or civil registry record. See the guide Correcting a PSA record.
  • If the difference is in another detail, such as a birth date, use the Affidavit of Discrepancy.
  • Bring the documents that show each name, or copies, when you have it notarized.

What notarizing it usually costs →

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

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