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REPUBLIC OF THE PHILIPPINES)

PROVINCE OF CEBU )S.S.

AFFIDAVIT OF EXPLANATION

I, FRANCISCO T. DELA DRUZ, Filipino, of legal age, single, and a


resident of __________________________, after having duly sworn in
accordance with law, hereby depose and state that:

1. I was born biologically male and baptized in the Archdiocese of


__________________________ with the name of FRANCISCO L.
TAPIAN;

2. My name in my Certificate of Live Birth issued by the Philippine


Statistics Authority erroneously entered my first name as FRANCISCA,
which is a clear typographical error;

3. Due to the confusion caused by the erroneous spelling of my first


name, my sex in the same Certificate of Live Birth was also
erroneously entered as “FEMALE” instead of “MALE”, when in fact, I
am born biologically male;

4. Hence, I now want to correct in my Certificate of Live Birth the


aforementioned entries which are clearly clerical and typographical in
nature;

5. I execute this affidavit to attest to the truth of the foregoing facts and
for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of


____________ in _______________, Philippines.

FRANCISCO L. TAPIAN
Affiant

SUBSCRIBED AND SWORN to before me this 25th day of August, 2019


in ___________________________, Philippines, affiant exhibiting to me his
SSS/UMID ID CRN XXXXXX.

Doc. No. ________


Page No. ________
Book No. ________
Series of _________.

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