REPUBLIC OF THE PHILIPPINES
CITY OF _________________
x------------------------------------x
JOINT AFFIDAVIT OF CORRECTION
WE, ___________________ and _________________, both of legal age, Filipino citizens, married and residents of _______________________________, after having been duly sworn to in accordance with law, depose and state THAT:
1. We
personally know the person of EARL PADUA ROXAS who was born on
April 30, 1994 in Panabo, Davao del Norte, he being the legitimate son of our
close friend and neighbor, the Spouses Rafael Roxas and Cher Padua (both deceased);
2. In
the Certificate of Live Birth of EARL PADUA ROXAS filed in the National Statistic Office his surname and the surname of
his father were erroneously entered and spelled as “ ROJAS”
while his middle name and of his mother were also erroneously
entered as “LADUA”;
3. The
true and correct spelling of the middle name and surname of EARL PADUA ROXAS is “PADUA” and "ROXAS", respectively;
4. The names “EARL PADUA ROXAS” and “EARL LADUA ROJAS" refer to one and the same
person;
5.
We are executing this affidavit to attest to the foregoing facts.
IN WITNESS WHEREOF, we have hereunto set our hands this ___________________ in _______________, Philippines .
__________________
Affiant
SSS ID No. ___________
|
____________________
Affiant
GSIS ID No. ____________
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SUBCRIBED AND SWORN TO before me this ___________________ in _________________, Philippines, affiants exhibiting to me their valid proofs of identification.
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2013.
