Affidavit of Discrepancy Date of Birth New TEMPLATE

Republic of the Philippines ] City of Marikina…………. ]

S.S.

AFFIDAVIT OF DISCREPANCY (Date of Birth)  ________________________ _________________  ________ , of legal age, Filipino citizen, __________, I,  _______________ residing at ____________________________________________________________, Philippines, UNDER OATH, do hereby depose and state THAT:

01.

I am a holder of a _______ professional driver’s license license with no.  _____________by the Land Transportation Office (LTO) of ___________, ______ _____, a copy of which is hereto attached as ANNEX A;

02.

My date of birth recorded and appearing in my aforesaid driver’s license driver’s license is  __________________ which is erroneous because my correct date of birth is ________________________ as shown in my birth certificate, copy of which is hereto attached as ANNEX B;

03.

I have this affidavit executed to attest to the truth of the foregoing and for  purposes of reporting the same to the LTO so that my date of birth erroneously recorded as _______________________ can be corrected to  __________________________  _________________________ _ and to request for a replacement or renewal of my said driver’s license bearing my correct date of birth.

IN WITNESS WHEREOF, WHEREOF, I have hereunto affixed my signature signature on this ______ day of _____________________ in Marikina City, Philippines.

Affiant SUBSCRIBED AND SWORN to before me on this _____day of _________________ in Marikina City, Philippines. Affiant exhibited as evidence of identity  ______________________________________________________  __________________________ ____________________________

 NOTARY PUBLIC

Doc. No. ______; Page No. ______; Book No.______; Series of 20____.

.