Affidavit of Two Disinterested Individual

Affidavit of Two Disinterested Individual - SSS Inquiries

Ang Affidavit of Two Disinterested Individual ay nagpapatotoo ng pagkakakilanlan ng isang taong magkaiba ang Pangalan o Date of Birth na nakasaad sa kanyang Birth Certificate at iba pang legal na dokumento.

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Narito ang Sample ng Affidavit of Two Disinterested Individual na maari ninyong maging pattern.

Paalala: Ang Dalawang Disinterested Individuals na siyang pipirma sa Affidavit ay dapat hindi kamag anak, asawa o kamag anak ng asawa ng concerned individual .

Joint Affidavit of Two Disinterested Individual – Editable Template

REPUBLIC OF THE PHILIPPINES)

QUEZON CITY ) S.S

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

 RE: ONE AND THE SAME PERSON  

WE, __________ and _________, both of legal ages, Filipinos, married, respectively and both are residents of _____________________, after having been sworn  in accordance with the law hereby depose and state that;

  1. We personally know ________________, who is our long time neighbor and acquaintance at _____________________, and the fact of his birth is registered at the Local Civil Registrar of ___________________;
  1. We know for a fact that the person by the name of “_____________” as appearing in some documents or specifically in his Certificate of Live Birth and identification cards and the name “___________________” as appearing in his school records, refer to one and the same person and that his true and correct name is __________________;
  1. We are not in any way related to any of the foregoing person within the fourth civil degree either by consanguinity or affinity, nor do we have any pecuniary interest in this matter whatsoever;
  1. To remove confusion as to the two names, we hereby declare that the name __________________ and ________________ refer to one and the same person whose registered name is ________________;
  1. We are executing this affidavit to attest to the truthfulness of the foregoing statements and to establish the real identity of __________________ and for all legal intents and purposes it may serve.

IN WITNESS WHEREOF, we have hereunto set our hands this 27th day of May 2017 at __________, Philippines.

 _____________________                                                              __________________

Affiant                                                                                Affiant

SSS ID No: 00-0000000-1                                                      PRC ID No: 0003384

 

SUBSCRIBED AND SWORN TO before me this 27th day of May 2017 at _________ Philippines.

Doc. No.___;

Page No. ;

Book  No. XXIV;

Series of 2017.

Joint Affidavit of Two Disinterested Individual – Editable Template

7 Comments on "Affidavit of Two Disinterested Individual"

  1. Ung sa birth date po ang nmali lng sa doc ko po nandito aq sa saudi saan po aq kukuhang affidavit

  2. Jesse M.Tandoc | March 29, 2018 at 9:31 am | Reply

    Gudpm po.gusto ko sanang magpa member dati pa,kaso Yong gender ko po yong problema..female po ako at Yong birth certificate ko po is male..pwede po ba ako mag voluntary member khit Yong ipapasa ko na birth certificate is male Yong nkalagay?

  3. Ask ko lang po kung pano po ung saken, may contribution na po ako . Iniisip ko po biglang magkaproblema kasi male yung gender ko sa birth certificate ko eh female naman po kasi ako. Ano po ang dapat gawin ? Thank you po.

  4. Elvira M. Cortezano | May 30, 2018 at 2:50 pm | Reply

    Yung apelyido ko po sa birth certificate kulang NG 2,letra sa huli Elvira barcibal marcillana dapat Yung marcillana naging marcilla lang

  5. Lorejen Egualan | June 19, 2018 at 6:20 am | Reply

    Good day,need help po regarding this matter.please take a look at my SSS number 0728193118.I filed mat2 this Jan 2018 and there is conflict on my name and my id’s submitted but I submitted Joint affidavit.But until now hindi pa daw nakokorek middle name ko.please help po ksi ito na lg daw kulang pra maaprove yung mat2 request ko.Thank you and God Bless

  6. Rosalinda Alberto | July 5, 2018 at 6:07 am | Reply

    May prob. Po kami regarding sa deceased member ay brother ko at married ngunit. Ngunit buhay pa ang brother ko ay nagpakasal sya ulit sa foreigner two yrs ago and my brother died dec 2017. Ano pong affidavit na malapit na 2 relatives

  7. Hi good morning need ko po ng help. Nagkaroon po ako ng typing error via online application sa SSS nalagyan ko po ng suffix e.g DIZON, CESS 1st ATIENZA instead of DIZON, CESS ATIENZA sabi nung SSS staff magpa affidavit of attorney na daw ako at i-attach ang E-4. Any suggestion? Need ko lang po

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