Professional Documents
Culture Documents
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 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.
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 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.