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Affidavit of Name Confirmation

1. The affidavit establishes that Danna Flor Milana Colis and Danna Flor Cariaso Milana refer to the same person, who was born with the last name Milana but has used Colis instead since childhood due to a school record listing her last name as Colis. 2. The person executed the affidavit to clarify that she and Danna Flor Milana Colis/Danna Flor Cariaso Milana are one and the same person. 3. A joint affidavit from two disinterested persons establishes that Danilo Mirador Moselina and Franklin Mirador Moselina refer to the same person, who was born with the name Franklin but has used Danilo instead in all dealings

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0% found this document useful (0 votes)
157 views3 pages

Affidavit of Name Confirmation

1. The affidavit establishes that Danna Flor Milana Colis and Danna Flor Cariaso Milana refer to the same person, who was born with the last name Milana but has used Colis instead since childhood due to a school record listing her last name as Colis. 2. The person executed the affidavit to clarify that she and Danna Flor Milana Colis/Danna Flor Cariaso Milana are one and the same person. 3. A joint affidavit from two disinterested persons establishes that Danilo Mirador Moselina and Franklin Mirador Moselina refer to the same person, who was born with the name Franklin but has used Danilo instead in all dealings

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REPUBLIC OF THE PHILIPPINES)

PROVINCE OF ABRA) S.S

AFFIDAVIT OF ONE AND THE SAME PERSON


I, DFC, Filipino citizen, single, and a resident of Zone 7, Bangued, Abra, after
having been sworn in accordance with law aver that:

1. I am the child of FRANQUINAICY COLIS and LOURDES MILANA;

2. I have used the name DFC, in all of my records and dealings such as health
records, school records and others of similar nature;

3. My school record states my last name as COLIS. It is the ONLY document which
is in my possession to which my identity is based. As such, I have used the
last name “COLIS” instead of “MILANA” which is the last name appearing in
my Birth Certificate;

4. I am under the impression and belief that “COLIS” is my last name;

5. It was only during the time that I need to secure requirements for my
graduation that I discovered that my last name “MILANA” appeared in the
authenticated copy of my Certificate of Live Birth instead of my last name
“COLIS” which I am using since childhood;

6. I am executing this affidavit to attest that “DANNAH FLOR MILANA COLIS” and
“DANNAH FLOR CARIASO MILANA” as appearing in the copy of my certificate
of Live Birth are ONE AND THE SAME PERSON;

7. I am executing this affidavit to attest to the truthfulness and honesty of the


foregoing facts and for all intents and purposes it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand on this 23rd day of


March, 2018 in Bangued, Abra.

DFC
Student No.: HS17-224
Affiant

FFF
Father

SUBSCRIBED AND SWORN to before me this 23rd day of March, 2018 in


Bangued, Abra. Affiant exhibited to me an integrally complete identification card
indicated below his name as proof of her identity.

Public Attorney 1
Roll No. 68503
Pursuant to R.A. 9406
REPUBLIC OF THE PHILIPPINES)

CITY OF MANILA) S. S

x---------------------------------------------x

JOINT AFFIDAVIT OF TWO (2) DISINTERESTED


PERSONS

WE, NOEL MARY, of legal age, Filipino and a resident of Sta Cruz, Zambales, and
ORLANDO MILLANES, of legal age, Filipino citizen and a resident of Sta Cruz,
Zambales, after having sworn to in accordance with law, hereby depose and say:

1. That we know personally FRANKLIN MIRADOR MOSELINA a.k.a.


DANILO MIRADOR MOSELINA who was born on December 27, 1961,
Filipino Citizen, of legal age and single;

2. That we know him to be using as his name DANILO MIRADOR


MOSELINA in all his private and public dealings instead of FRANKLIN
MIRADOR MOSELINA her true and correct name appearing on her Birth
Certificate;

3. That DANILO MIRADOR MOSELINA and FRANKLIN MIRADOR


MOSELINA is one and the same person;

4. This Affidavit is being executed to attest to the foregoing facts.


IN WITNESS WHEREOF, we have hereunto affixed our signatures this _____ day
of _______ 2017.

NOEL MARY ORLANDO MILLANES


Affiant Affiant

SUBSCRIBED AND SWORN to before me this _____ day of _______ 2017, in the
City of Manila, Philippines.

NOTARY PUBLIC

Doc. No. _____;

Page No. _____;


Book No. _____;

Series of 2006.

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