REPUBLIC OF THE PHILIPPINES)
) S.S.
We, (Name) and (Name), both of legal age, Filipino, married and residents of (Address), after having been duly sworn to in accordance with law, depose and state:
1. We personally know the person of (Name) who was born on (Date of Birth) in (Place of Birth), he being the legitimate son of our close friend and neighbor, the Spouses (Name of Parents) (both deceased);
2. In the Certificate of Live Birth of (Name) filed in the National Statistic Office his surname and the surname of his father were erroneously entered and spelled as “----” while his middle name and of his mother were also erroneously entered as “----”;
3. The true and correct spelling of the middle name and surname of (Name) is “----” and “----”, respectively;
4. The names “----------” and “----------” refer to one and the same person;
5. We are executing this affidavit to attest to the foregoing facts.
IN WITNESS WHEREOF, I have hereunto set my hand this (Date) in (Place), Philippines.
(Name)
Affiant
SUBCRIBED AND SWORN TO before me this (Date) in (Place), Philippines by (Name of Affiant) affiant exhibiting to me his Competent Evidence of Identity by way of Passport Identification(ID Number) issued on (Date) in(Place).
Notary Public
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 20__.