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Affidavit of Reconciliation of Birth Data
Affidavit of Reconciliation of Birth Data
of the Philippines )
Province of Palawan )S.S.
City of Puerto Princesa )
1. I was born to Spouses _______ and _________ of Calbayog City on May
10, 1976;
2. In the birth certificate which I obtained only recently, my family name is spelled
as "________________" instead of "_________________" to which I have I have been
used to as in my school records, SSS, BIR and other public documents. A copy of said
birth certificate which indicated my family name as "_______________" is hereto
attached for reference;
______________________
Affiant