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Affidavit of Change of Name
Affidavit of Change of Name
1. That I was born on December 17, 1953 in Sta. Cruz, Manila City to the
Spouses Felipe Gonzaga and Virginia Sarmenta;
2. That since I was young, I have always been known and called by the first
name “EMMANUEL” and that it is the same first name that I am using in all my
documents and identification papers;
3. That it appears from the records of the Office of the Civil Registrar of
Manila that I was registered with the name of “VIRGILIO” only;
5. That based on marriage contract, it appears that I was born to the spouses
Felipe Gonzaga and Virginia Sarmenta with the same date of birth as appearing in
my record of birth certificate;
7. That I was not able to petition the proper agencies in the Philippines for
my change of name since I became an American Citizen on September 17, 1982;
EMMANUEL S. GONZAGA
Affiant
NOTARY ACKNOWLEDGMENT
On this _____ day of December, 2022, personally appeared the above-
named EMMANUEL S. GONZAGA and acknowledged the foregoing facts to be
the truth before me.
NOTARY PUBLIC