REPUBLIC OF THE PHILIPPINES)

_______________________ CITY) S.S

AFFIDAVIT OF ONE AND THE SAME PERSON

I, _____________________, of legal age, Filipino citizen, married, with residence address at

____________________________, after having been sworn to in accordance with law do hereby
depose and state that:

1. I am the child of _________________ and ___________________;

2. That I have used the name ______________________ in most of my records and dealings,
such as my government-issued IDs, school records, and others of similar nature;

3. That my Driver’s License is the only government-issued ID that states my name as

______________________;

4. That my Certificate of Live Birth states that my first name is __________________;

5. I am executing this affidavit to attest that ____________________ and ____________________

are all ONE AND THE SAME PERSON.

6. That I am therefore executing this affidavit to attest to the truthfulness and

honesty of the foregoing facts for all intents and purposes it may serve.

______________________
Affiant

SUBSCRIBED AND SWORN TO before me on this _____ day of _________ in ______________ City,
affiant exhibiting to me his/her _____________ ID No. _____________.

Doc No. ____;

Page No. ____;
Book No. ____;
Series of ____ .