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REPUBLIC OF THE PHILIPPINES
[Province/City/Municipality]) S.S.
AFFIDAVIT OF ONE AND THE SAME PERSON
I, [Full Name], of legal age, [civil status], [nationality], and presently residing at [Complete Address], after having been duly sworn to in accordance with law, depose and state:
That my full and correct name is [Full Name as Appearing in Primary Documents];
That in some of my records and official documents, my name appears in different variations, as follows:
[Variation 1] (as it appears in [e.g., Birth Certificate, Passport, School Records])
[Variation 2] (as it appears in [e.g., Marriage Certificate, Employment Records, ID])
[Variation 3] (as it appears in [if applicable, e.g., Bank Documents, Property Title])
That these names refer to one and the same person, and I am executing this affidavit to affirm my identity and to avoid confusion regarding any discrepancies in my records; and
That I am executing this affidavit to certify that all documents, records, and transactions under these names pertain to me, and for any legal purpose it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this ___ day of [month], [year], at [place of execution].
[Full Name]
Affiant
SUBSCRIBED AND SWORN TO before me in the City/Municipality of [location], this ___ day of [month], [year], by affiant who has satisfactorily proven his/her identity through [Government ID type and number], issued on [date] and expiring on [date], that he/she is the same person who personally signed before me the foregoing Affidavit of Loss and acknowledged that he/she executed the same.
NOTARY PUBLIC
Doc No. ____;
Page No.____;
Book No. ___;
Series of [YEAR].