Affidavit of one and the same

Actual Printout

I,
of legal age, Filipino citizen, and resident of
,
, after having sworn in accordance with law, do hereby depose and state that:

  1. I have been known by the name
    and have been accustomed to using the same in my personal and official records,transactions, and communications, as shown by the following:
        issued by the
        on
        at
        , a copy which is attached hereto as Annex “A”.
  2. My name was recorded as
    on my
    registered at the
    , a copy of which as certified by the
    is attached hereto as Annex “B”
  3. Both the name
    and
    refer to one and the same person, the herein Affiant.
  4. I am executing this affidavit to attest the truth of the foregoing and for whatever legal purpose it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this
of
,
, in
,
.
________________________


SUBSCRIBED AND SWORN to me this _____ of ____________, __________, in _____________, ________, affiant exhibiting competent evidence of identity through ____________ with ID number ___________, issued on ____________.


WITNESS MY HAND AND SEAL.

Notary Public

Doc. No. _____;
Page No. _____;
Book No. _____;
Series of _____.