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Affidavit of Disinterested Person BALLIER

Two affiants declare in a joint affidavit that their friend Clarence Dela Cruz Ballier's certificate of live birth incorrectly lists his first name as "Clarina" and sex as "female". They attest that his real name is "Clarence" and sex is "male", as proven by attached copies of his voter ID card and baptismal certificate. The affiants also state they are not related to Clarence Dela Cruz Ballier by blood or marriage. They sign the affidavit on October 4, 2019 in Roxas City, Capiz to correct the errors on his certificate of live birth.
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0% found this document useful (0 votes)
227 views2 pages

Affidavit of Disinterested Person BALLIER

Two affiants declare in a joint affidavit that their friend Clarence Dela Cruz Ballier's certificate of live birth incorrectly lists his first name as "Clarina" and sex as "female". They attest that his real name is "Clarence" and sex is "male", as proven by attached copies of his voter ID card and baptismal certificate. The affiants also state they are not related to Clarence Dela Cruz Ballier by blood or marriage. They sign the affidavit on October 4, 2019 in Roxas City, Capiz to correct the errors on his certificate of live birth.
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REPUBLIC OF THE PHILIPPINES)

CITY OF ROXAS ) S.S.

JOINT AFFIDAVIT OF
TWO DISINTERESTED PERSONS

We, ______________________________________, both of


legal age, single/married, Filipinos and residents of
_______________________________________________________
__________________________, Philippines respectively, after
having been sworn in accordance with law, hereby depose and state:

We personally know CLARENCE DELA CRUZ BALLIER,


being friends since we we’re young;

It was erroneously entered in his Certificate of Live Birth that his


first name is CLARINA and his sex is MALE ;

We declare and certify that his real name is CLARENCE DELA


CRUZ BALLIER and not CLARINA DELA CRUZ BALLIER, as
evidenced by his Certificate of Live Birth. A copy of his Voter’s
Identification Card and Baptismal Certificate issued by Parish of Sta.
Monica proving that he is using CLARENCE DELA CRUZ, is attached
hereto as Annex “A” and “B” respectively;

Moreover, we declare that his sex is MALE and not female;

He has been using the name CLARENCE in all his pertinent


documents and transactions;

We are not related by affinity or consanguinity to CLARENCE


DELA CRUZ BALLIER; and

We are executing this Affidavit to attest to the truth of the


foregoing statement and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, we have hereunto set our hand this


04 October 2019 in Roxas City, Capiz.

___________________ ________________
Affiant Affiant

SUBSCRIBED AND SWORN to before me this 04 October


2019 in Roxas City, Capiz with Affiants presenting to me above-
mentioned competent evidence of their identities.

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