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Affidavit for Name Correction in Certificate

This affidavit is submitted by a petitioner seeking to correct a clerical error in a Certificate of Birth, where the individual's name is incorrectly recorded. The petitioner provides supporting documents to validate the correct name and requests the relevant authority to amend the record. The affidavit is sworn and signed by the affiant, Marilyn B. Guillermo.

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13 views1 page

Affidavit for Name Correction in Certificate

This affidavit is submitted by a petitioner seeking to correct a clerical error in a Certificate of Birth, where the individual's name is incorrectly recorded. The petitioner provides supporting documents to validate the correct name and requests the relevant authority to amend the record. The affidavit is sworn and signed by the affiant, Marilyn B. Guillermo.

Uploaded by

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

AFFIDAVIT

I, ______________, of legal age, Filipino, single/married and a


resident of __________________, Philippines, after having been duly
sworn according to law depose and say:

That I am the petitioner seeking to correct a clerical error of


the Certificate of ______________________ of _____________________,
issued by the ______________________________.

That her name is currently recorded as “_________” on her


Certificate of ____________, which contains a clerical error.

That she was attended at birth by the “Paltera”, Lucrecia


Plaga who resides at Nasunogan, Dao, Capiz;

That her correct name is “_________________”.

That error in her name on the Certificate of ________ is due to


typographical error.

That I am the _______ of said person.

That I am attaching hereto, as part of this affidavit, the


following documents to support my claim of the correct name:
 A machine copy of _______ Certificate of ___________;
 [other relevant documents like passport, voter’s ID, etc.]

WHEREFORE, I respectfully pray that the _____________ of


_________________ be directed to correct the entry on __________
Certificate of _______, changing here name from “_________” to
“_______”.

IN WITNESS WHEREOF, I have hereunto affixed my signature


this ______________

MARILYN B. GUILLERMO
Affiant

SUBSCRIBED AND SWORN to before me this __________, at


______________, Philippines.

Doc No. _________


Page No. ________
Book No. ________
Series of 2025

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