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Affidavit of Discrepancy Form

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0% found this document useful (0 votes)
18 views1 page

Affidavit of Discrepancy Form

Uploaded by

Atty Pi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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AFFIDAVIT OF DISCREPANCY

I, JUAN DELA CRUZ, of legal age, married, Filipino and a resident of


_____________, Philippines having been duly sworn in accordance with law,
hereby depose and state:

That on _____________, I was issued a Philippine Passport with passport number


_____________ in which my true surname DELA CRUZ was stated;

That before the expiration of the aforementioned passport on _____________, I


had applied with Philippine Embassy in _____________ for the issuance of a new
passport and on _____________, I was issued a new Philippine passport with
passport no. _____________;

However, in the said new passport my surname had been erroneously misspelled
as DELA CRUX;

That I execute this Affidavit of Discrepancy to attest to the truth of the foregoing
facts and to explain the discrepancy in my Philippine Passport with regards my
surname.

IN WITNESS WHEREOF, I have hereunto set my hand this _____________, at


_____________, Philippines.

Affiant

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