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  • Affidavit of Supplemental Report

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    alfie dusaban
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    This affidavit is submitted to supplement the records of the Office of the Civil Registrar to add a first name. The affiant states that he has always been known as "Pedro" but the records do not include a first name. His parents inadvertently failed to include a first name at the time of registration due to uncertainty. The affiant requests to be registered with the first name "Pedro" to correct this omission.

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    Affidavit of Supplemental Report

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    This affidavit is submitted to supplement the records of the Office of the Civil Registrar to add a first name. The affiant states that he has always been known as "Pedro" but the records do not include a first name. His parents inadvertently failed to include a first name at the time of registration due to uncertainty. The affiant requests to be registered with the first name "Pedro" to correct this omission.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    Download as docx, pdf, or txt
    250 views1 page

    Affidavit of Supplemental Report

    Uploaded by

    alfie dusaban
    This affidavit is submitted to supplement the records of the Office of the Civil Registrar to add a first name. The affiant states that he has always been known as "Pedro" but the records do not include a first name. His parents inadvertently failed to include a first name at the time of registration due to uncertainty. The affiant requests to be registered with the first name "Pedro" to correct this omission.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
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    (Affidavit of Supplemental Report for the Office of the Civil Registrar)

    REPUBLIC OF THE PHILIPPINES)


    Province of ____________________) S.S.
    City/Municipality of _____________)
    x-----------------------x

    AFFIDAVIT OF SUPPLEMENTAL REPORT

    I, _____________, Filipino, of legal age, (single / married / widow), and resident of


    _____________, Philippines, having been duly sworn in accordance with law, hereby depose and state:

    That I was born on _____________ at _____________ to the Spouses _____________ and


    _____________;

    That since I was young, I have always been known and called by the first name "PEDRO" and that
    it is the same first name that I have been using in all my documents and identification papers;

    However, it appears from the records of the Office of the Civil Registrar of _____________ City
    that I was registered therein without a given first name;

    That it is my desire to be registered with the said Office of the Civil Registrar of _____________
    City with the first name "PEDRO";

    That the failure to state my first name was purely the inadvertence of my parents who failed to do so
    because of their uncertainty at first as to what name would be given me at the time of the
    registration of the facts of my birth with the said office;

    As such, I execute this Affidavit to certify or attest to the truth of the foregoing facts and for
    whatever legal purpose that this Affidavit may serve.

    IN WITNESS WHEREOF, I have set our hands this _____________, in the _____________,
    Philippines.

    AFFIANT

    SUBSCRIBED AND SWORN to before me this _____________________ affiants


    exhibiting to me their competent proof of identification containing their signatures and photos, consisting of
    the abovementioned identification cards.

    Doc. No. _____;


    Page No. _____;
    Book No. _____;
    Series of 2019.

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