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Affidavit
Affidavit
I, of legal age, Filipino, and residing/with postal address at, under oath, state that:
2. The original copy of my Certificate of Live Birth was forwarded to the Philippine
Statistics Authority (PSA);
3. When a copy of my Certificate of Live Birth was secured from PSA Baguio City, it was
discovered that there is no entry under the following item: FIRST NAME and the suffix
“JR.”;
4. There was a failure to supply the said item due to the inadvertence of the registrant;
5. The entries to be indicated should be the following: JR.;
6. I am requesting the concerned authorities to supply the omitted information in my
Certificate of Live Birth;
7. I am executing this Affidavit to attest to the truth of the foregoing facts and to use the
same for whatever legal purpose it may serve.
Affiant
Doc No.:
Page No.:
Book No.:
Series of 2022.