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Republic of the Philippines )

CITY OF TALISAY ) S.S.


Province of Cebu )
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AFFIDAVIT OF DISCREPANCY

I, MANUEL DINGDING, of legal age, Filipino, married, and a resident of Lagtang,


Talsiay City, Cebu, Philippines, having been duly sworn in accordance with law, hereby
depose and state:

1. That in my Certificate of Live Birth as recorded in the Office of the Civil


Registrar of Alcoy, Cebu, Philippines, I have no middle name and it was
erroneously written as JIMENEZ instead of no middle name in my Office of the
Senior Citizens Affairs (OSCA) City of Talisay, Cebu Identification Card with
Control Number 17706;

2. That I have no middle name as appearing in the Certificate of Live Birth;

3. That I am executing this Affidavit of Discrepancy to attest to the truth of the


foregoing facts and to explain the discrepancy in my Office of the Senior
Citizens Affairs, City of Talisay, Cebu, as regards that I have no middle name.

IN WITNESS WHEREOF, I have hereunto set my hand this _____________, at


City of Talisay, Cebu, Philippines.

MANUEL DINGDING
AFFIANT
OSCA ID NO. 17706

SUBSCRIBED AND SWORN TO before me on the date and place above


indicated by the affiants who exhibited to me his Government issued
Identification as reflected below his respective signatures.

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