Affidavit of Discrepancy-Middle Name
Affidavit of Discrepancy-Middle Name
Affidavit of Discrepancy-Middle Name
City/Municipality of _____________)
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AFFIDAVIT OF DISCREPANCY
1. That in my Certificate of Live Birth as recorded in the Office of the Civil Registrar of
_____________ City, Philippines, my middle name was erroneously written as "CRUX"
instead of my true and correct middle name of "CRUZ";
2. That my true middle name is "CRUZ" as appearing in the same Certificate of Live as
the maiden name of my mother.
3. That in all pertinent documents which I had used, to include that of my scholastic
records (transcript of records), I used my true and correct middle name of "CRUZ";
(JURAT)