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    Reconciliation of Birth Data

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    Anirts
    The document is an affidavit of reconciliation of birth data. It states that the affiant was born on May 10, 1976 in Calbayog City to parents with certain names. However, the affiant's family name was misspelled on their birth certificate. The affidavit serves to clarify and reconcile the correct spelling of the affiant's family name, and asserts that the two different spellings refer to the same person, the affiant. It is signed and notarized on a specific date.

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    Reconciliation of Birth Data

    Uploaded by

    Anirts
    60 views1 page
    The document is an affidavit of reconciliation of birth data. It states that the affiant was born on May 10, 1976 in Calbayog City to parents with certain names. However, the affiant's family name was misspelled on their birth certificate. The affidavit serves to clarify and reconcile the correct spelling of the affiant's family name, and asserts that the two different spellings refer to the same person, the affiant. It is signed and notarized on a specific date.

    Original Title

    RECONCILIATION OF BIRTH DATA

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    The document is an affidavit of reconciliation of birth data. It states that the affiant was born on May 10, 1976 in Calbayog City to parents with certain names. However, the affiant's family name was misspelled on their birth certificate. The affidavit serves to clarify and reconcile the correct spelling of the affiant's family name, and asserts that the two different spellings refer to the same person, the affiant. It is signed and notarized on a specific date.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    60 views1 page

    Reconciliation of Birth Data

    Uploaded by

    Anirts
    The document is an affidavit of reconciliation of birth data. It states that the affiant was born on May 10, 1976 in Calbayog City to parents with certain names. However, the affiant's family name was misspelled on their birth certificate. The affidavit serves to clarify and reconcile the correct spelling of the affiant's family name, and asserts that the two different spellings refer to the same person, the affiant. It is signed and notarized on a specific date.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    Republic of the Philippines )

    Province of ________________ ) SS.


    City/Municipality of _______ ) 
    x- - - - - - - - - - - - - - - - - - - - - x

    AFFIDAVIT OF RECONCILIATION OF BIRTH DATA

    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:

    1. I was born to Spouses _______ and _________ of Calbayog City on May 10, 1976;

    2. 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;

    3.   The names _________________ and ___________________ belong to one and


    the same person, the undersigned herein;

    4. 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 _______________________.

    ______________________
    Affiant

    SUBSCRIBED AND SWORN TO before me this _____ day of _________ at


    ________________ affiant exhibited to his/her competent evidence of identity by way of
    _________________ issued on __________________ in _______________, Philippines.

    Doc. No. _____


    Page No. _____
    Book No. _____
    Series of _____.

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