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Republic of the Philippines )

Province of Lanao del Norte) s.s.


Municipality of Tubod
)
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AFFIDAVIT OF DISCREPANCY
I, JESS SIRYL ESTAVAS BRINGUELA, of legal age, single and a
resident of Donggo-an, Kapatagan, Lanao del Norte, after having been
duly sworn to in accordance with law do hereby depose and state:
1. That I was born on December 25, 1981 to the spouses
Rodulfo D. Bringuela and Lordenita E. Bringuela;
2. That however, when I obtained a copy of my Certificate
of Live Birth issued by the Local Civil Registrar of Tubod,
Lanao del Norte, I discovered that my surname
appearing thereon was erroneously written as
BRENGELA while it should be BRINGUELA, the true and
correct one;
3. That since time immemorial, I have been known in our
locality to be JESS SIRYL ESTAVAS BRINGUELA and thus I
have accustomed to using the name JESS SIRYL
ESTAVAS BRINGUELA in my personal records,
transactions and communications;
4. That the name JESS SIRYL ESTAVAS BRENGELA and JESS
SIRYL ESTAVAS BRINGUELA refer to one and the same
person, the herein Affiant;
5. That the discrepancy was caused by the clerk/typist
who prepared the document which was due to oversight
and excusable negligence;
6. That I am executing this affidavit to attest to the
veracity of the foregoing statements and to explain the
above stated discrepancy in order to rectify the same
for any and all legal intents and purposes this may
serve best.
IN WITNESS WHEREOF, we have hereunto set our hands this
___th day of May, 2014 at _____________, Lanao del Norte, Philippines.

JESS SIRYL
ESTAVAS BRINGUELA
Affiant

SUBSCRIBED AND SWORN to before me this ___th day of May,


2014 at _____________, Lanao del Norte, Philippines.

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