AFFIDAVIT OF DISCREPANCY (Date of Birth) I, ________________________________, of legal age, Filipino citizen, __________, residing at ____________________________________________________________, Philippines, UNDER OATH, do hereby depose and state THAT: 01.
I am a holder of a _______ professional driver’s license with no. _____________by the Land Transportation Office (LTO) of ___________, a copy of which is hereto attached as ANNEX A;
My date of birth recorded and appearing in my aforesaid 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;
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, I have hereunto affixed my 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 ______________________________________________________
Doc. No. ______; Page No. ______; Book No.______; Series of 20____.
