I, ___________________, of legal age, single, Filipino citizen, and with residence at _______________ after having been sworn in accordance with law, do hereby depose and state that:
I was born to Spouses and __ of Taguig City on July 11, 1985;
In the birth certificate which I obtained only recently, my family name is spelled as “____” instead of “_____” to which I have I have been used to as in my school records, SSS, BIR and other public documents. A copy of said birth certificate which indicated my family name as “___” is hereto attached for reference;
The names _____ and _______ belong to one and the same person, the undersigned herein;
That I am executing this affidavit in order to attest to the truth of foregoing circumstances and for the purpose of setting the records straight and declaring that ________ and _____________ refer to one and the same person.
IN WITNESS WHEREOF, I have hereunto affixed my signature on this day of _____, 20 _ in _____________.