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Republic of the Philippines )

City of Puerto Princes )


Province of Palawan )S.S.

AFFIDAVIT OF DISCREPANCY OF YEAR OF BIRTH

I, JULIETA ARIB RIEZA, of legal age, married and with address at Brgy. Abo-Abo,
Sofronio Espanola, Province of Palawan, Philippines, after having been duly sworn to in
accordance with law, hereby depose and say, state:

1. THAT the date of birth appearing my Certificate of Live Birth issued by office
of the Philippine Statistics Authority is “July 1, 1961”;

2. THAT the date of birth appearing in my Professional Identification Card with


number 0510226 was inadvertently entered as “July 1, 1960”;

3. THAT I am actually born on “July 1, 1961” at Aboabo, Brookes’ Point,


Palawan;

4. THAT I am executing this Affidavit to attest to the truth of the foregoing facts
and to use the same for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I hereunto affix my signature this 22nd day of November,


2018 at Puerto Princesa City.

JULIETA ARIB RIEZA


Affiant
PRC ID No. 0510226

SUBSCRIBED AND SWORN to before me this 22nd day of November 2018 at Puerto
Princesa City, Affiant exhibited to me the competent evidence of identity as shown below her name
and signature.

Doc. No.:________;
Page No.:________;
Book No.:________;
Series of 2018.