Affidavit of Denial for NBI Clearance: Free Sample and How to Get It Notarized

An affidavit of denial is a sworn, notarized statement that you are not the person named in an NBI record that matched your name. The NBI may ask for one after a HIT when the record clearly belongs to a namesake but the match is close enough that it wants your denial in writing.

Get one only if the NBI asks. A notary public, usually a lawyer near a city hall or courthouse, prepares it. Some NBI offices have a lawyer on site who can administer the oath. Bring a valid ID, sign in front of the notary, and hand the original to the NBI.

What it says	Under oath: “The person in your record is not me”
When you need it	Only when the NBI asks for one after a HIT
Who prepares it	A notary public, the PAO for those who qualify, or a lawyer at some NBI offices
Bring	A valid ID with your photo and signature, plus your NBI details and the record details the NBI gave you
Cost	Notarial fees vary, often a few hundred pesos, so ask first
Don’t sign it if	The record is actually yours. Get court documents instead

This is general information, not legal advice. We are not the NBI or a law firm. A false affidavit can be prosecuted as perjury, so sign only what is true.

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When the NBI asks for an affidavit of denial

After a HIT on your NBI clearance, staff check whether the matching record is yours. Usually a few questions are enough. They may ask for an affidavit of denial when:

• The namesake’s record is serious, such as an open case or a warrant.
• Your details are close to the namesake’s, for example a similar birth year or the same province.
• The record doesn’t have enough details to tell you apart on the spot.

This often comes up during the quality control interview on your return date. Don’t get an affidavit in advance “just in case”. It costs money, and the NBI may want one that refers to the specific record it found.

Don’t sign one if the record is yours

An affidavit of denial is only for records that belong to someone else. If the record is a past case of yours, even one that was dismissed, you clear it with certified court or prosecutor documents instead. Our guide to a HIT on a dismissed case lists which ones you need.

Signing a denial for a case that is really yours is a false statement under oath, which can be prosecuted as perjury, and the NBI can check it against court records.

How to get an affidavit of denial, step by step

Step 1 — Write down what the NBI told you

Note your reference number, the branch and date of your application, and whatever details you were given about the record: the name in it and, if shared, the case number and the type of case. The affidavit should refer to that specific record.

Step 2 — Go to a notary public

Notaries are lawyers commissioned to notarize documents. You’ll find them near city halls, courthouses and business districts. If you can’t afford one, the Public Attorney’s Office (PAO) can help people who qualify. At some NBI offices, a lawyer on site administers the oath, so ask the NBI first.

Step 3 — Bring a valid ID

The notary must see you in person and check a current government ID with your photo and signature, such as a passport, driver’s license or National ID. They can’t notarize an affidavit for someone who isn’t there.

Step 4 — Check the draft, then sign in front of the notary

Most notaries have their own format, which is fine. Read it before signing: your name, birth details and the record details must be correct. Then sign in front of the notary, who completes the part at the bottom (the jurat), stamps it and records it in their notarial book.

Step 5 — Submit the original to the NBI

Bring the original notarized affidavit to the NBI branch where you applied, together with your claim stub and ID. Keep a photocopy for yourself.

Sample affidavit of denial for NBI clearance

Use this as a guide or give it to your notary. Replace everything in [brackets] with your own details, and keep only what’s true.

REPUBLIC OF THE PHILIPPINES )
CITY/MUNICIPALITY OF [__________] ) S.S.

AFFIDAVIT OF DENIAL

I, [FULL NAME], of legal age, Filipino, [single/married/widowed], and residing at [complete address], after having been duly sworn in accordance with law, depose and state that:

1. On [date], I applied for an NBI clearance at the NBI [branch], under reference number [__________];

2. I was informed by the National Bureau of Investigation that my name matched a record in its files, namely [name in the record and, if given, the case number and nature of the case];

3. I am not the person named in that record. I have never been charged with, arrested for or convicted of the offense stated in it;

4. My date of birth is [__________], my place of birth is [__________], my father is [full name] and my mother is [full maiden name];

5. I am executing this affidavit to attest to the truth of the foregoing, to support the release of my NBI clearance, and for whatever other legal purpose it may serve.

IN WITNESS WHEREOF, I have signed this affidavit this [__] day of [month] [year] at [city/municipality], Philippines.

__________________________
[FULL NAME]
Affiant

SUBSCRIBED AND SWORN to before me this [__] day of [month] [year] at [city/municipality], Philippines, affiant exhibiting to me [type of ID and number] as competent evidence of identity.

__________________________
Notary Public

Doc. No. ____; Page No. ____; Book No. ____; Series of [year].

Prefer to fill it in on your computer? Download the template as a Word file:

Affidavit of denial vs other affidavits

These are easy to mix up, but they say very different things:

Affidavit	What it says	When it’s used
Affidavit of denial	“The person in the NBI record is not me.”	After a HIT for a namesake’s record
Affidavit of one and the same person	“These differently spelled names all refer to me.”	When your documents show your name in different ways
Affidavit of discrepancy	“This detail differs between my documents, and here’s why.”	When a birth date or other detail doesn’t match across documents

If the mismatch is in your own documents rather than an NBI record, see our guide on how to fix a mistake on your NBI clearance.

FAQs: affidavit of denial for NBI clearance