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Sample Affidavit of Discrepancy

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Republic of the Philippines )

City of Zamboanga . . . . . . .) S.S.


x-------------------------------x)

AFFIDAVIT OF DISCREPANCY
(Date OF Birth)

I, ALSHEMAR IDJIRAEL AMIRUL, of legal age, single, Filipino, a resident of


Stanvac, Lower Calarian, Zamboanga City after having been subscribed to an oath, hereby
depose and say THAT:

1. In my Certificate of Live Birth as recorded in the Office of Civil Registrar of the


Municipality of Sitangkai, Tawi Tawi and in my Official Transcript of Records
issued by Mahardika Institute of Technology, Inc., it is stated that I was born on
DECEMBER 22, 1986;

2. I am a bonafide member of the Philippine National Police and was issued a PNP
Identification Card but my date of birth recorded and appearing in the said
identification card is DECEMBER 22, 1996 which is erroneous because my
true date of birth as stated above is DECEMBER 22, 1986;

3. I am executing this affidavit to attest the truth of the foregoing facts and to
explain the discrepancy in my Certificate of Live Birth and my PNP
Identification Card as regards to my date of birth;

4. Further, I am declaring that from this date hereon I would be using my true and
correct date of birth of DECEMBER 22, 1986 in all my papers, records, other
documents and for any legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 15th day of August
2019 at Zamboanga City, Philippines.

ALSHEMAR IDJIRAEL AMIRUL


Affiant

SUBSCRIBED AND SWORN to before me this 15th day of August 2019 at


Zamboanga City, Philippines. Affiant exhibited as evidence of identity his PNP ID bearing
no. 171220371.

Doc No. ____;


Page No. ___;
Book No. ___; ATTY. GIOVANNI P. GUEVARA
Series of 2019. Notary Public for Zamboanga City
Until December 31, 2019
Notarial Commission No. 68-2018
PTR OR NO. 1806757, 1/04/2019, Z.C.
IBP OR NO. 063794, 1/07/2019 Z.C.
Roll of Attorneys No. 70466
2nd Flr., Reyes Building, Gov. Alvarez St.
Zamboanga City

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