Affidavit of Discrepancy and Affidavit of Two Disinterested Persons

It might come as a surprise for some people when they discover that the name that they have
been using is not the same with the name their birth certificates indicate. If that happens, some
public and private offices often require that the person concerned issue an Affidavit of
Discrepancy and additionally requiring two other disinterested persons to attest to the identity of
the person who has discrepancy in his name.
In the example below, a certain JOHNNY DELA CRUZ later on discovers that his Birth
Certificate indicates that his name is actually JUAN DELA CRUZ.

AFFIDAVIT OF DISCREPANCY
I, JUAN C. DELA CRUZ, of legal age, single, and a resident of Davao City, after
having been duly sworn to in accordance with law, hereby depose and say:
That since I was young, I have been using the name JOHNNY C. DELA
CRUZ;
That I am also known by my family and friends as JOHNNY C. DELA CRUZ;
That recently, I applied for membership with the Philippine Health Insurance
Corporation (PhilHealth) and as a requirement for such application, I was made to
submit my Birth Certificate;
That when I requested for a copy of my Birth Certificate from the National
Statistics Office, I was surprised that my name as reflected on the official document is
JUAN C. DELA CRUZ (A copy of the Birth Certificate is hereto appended as ANNEX
A and forms an integral part hereof);
That I attest that JOHNNY C. DELA CRUZ and JUAN C. DELA CRUZ is one
and the same person;
That from now on, I will be using my true and correct name, JUAN C. DELA
CRUZ.
That I am executing this affidavit in order to attest to the truth of the facts
aforementioned, and for any legal purpose this may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this this _____________
at ____________.
JUAN C. DELA CRUZ
Affiant
Witnesses:

SUBSCRIBED AND SWORN to before me this this _____________ at

____________,, affiant exhibiting to me his PhilHealth ID No. ________________.
Doc No. ___;
Page No. ___;
Book No. ___;
Series of _____.

Notary Public

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, WITNESS ONE and WITNESS TWO, both of legal age, both single, and
residents of Davao City, after having been duly sworn to in accordance with law, hereby
depose and say:
That we personally known JOHNNY C. DELA CRUZ because we are family
friends and we have known him for more than 30 years;
That we also personally know that JOHNNY C. DELA CRUZ has been using
that name since he was a child;
That we personally know that from available records, his authenticated Birth
Certificate indicates that his name is JUAN C. DELA CRUZ;
That we attest that JOHNNY C. DELA CRUZ and JUAN C. DELA CRUZ is
one and the same person;
That we are executing this affidavit in order to attest to the truth of the facts
aforementioned, and for any legal purpose this may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this this _____________
at ____________.

WITNESS ONE
ID/CTC No.
Issued on
Issued at

WITNESS TWO
ID/CTC No.
Issued on
Issued at

SUBSCRIBED AND SWORN to before me this _____________ at

____________, affiants exhibiting to me their competent evidence of identity written
below their names.
Doc No. ___;
Page No. ___;
Book No. ___;
Series of _____.

Notary Public