Republic of the Philippines
_________________________) S.S.
AFFIDAVIT OF ONE AND THE SAME PERSON
I, ____________________, of legal age, ________ citizen, single, and residing
at ________________, after having been duly sworn to in accordance with law, do
hereby depose and state that:
1. I am known by the name “__________________________” and have used
the same in my work and personal interactions, as shown by the
following (a copy of which is attached hereto as Annex “A” and made an
integral part hereof);
2. My true and correct name is “________” as duly recorded and reflected
in my Certificate of Live Birth issued by the Philippine Statistics Authority
which is hereto attached as Annex “B” and made an integral part hereof;
3. The names “___” and “___” refer to one and the same person;
4. I am executing this AFFIDAVIT to attest to the truth of the foregoing
facts and for whatever lawful purpose it may serve.
FURTHER AFFIANT SAYETH NAUGHT.
IN WITNESS WHEREOF, I have signed this AFFIDAVIT OF ONE AND THE
SAME PERSON this ___ day of __________ 2023 at _________________, Philippines.
__________________________
Affiant
SUBSCRIBED AND SWORN to before me this _______ day of ______________
2023 at ___________ , affiant exhibiting to me his _________________ with ID No.
___________________, bearing his photograph and signature.
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2023.