REPUBLIC OF THE PHILIPPINES )

CITY OF ___________________) S.S

x---------------------------------------------x

AFFIDAVIT OF DISCREPANCY IN NAME

I, Magnus Albert Lasay Manalili, of legal age, single and with address at 23
Venus St. Tandang Sora, Quezon City, under oath, state:

1. THAT my name is Magnus Albert Lasay Manalili as stated and registered in

my birth certificate issued by Local Civil Registrar of Manila. A copy of my
birth certificate is hereto attached as ANNEX “A”;

2. THAT since childhood, my friends and acquaintances call me “Magnus” and

thus since then I have been accustomed to using the name Magnus Lasay
Manalili in my personal records, transaction and communication;

3. THAT the name Magnus Albert Lasay Manalili and Magnus Lasay Manalili
refer to one and the same person, the herein Affiant;

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 ____ day of __________

2019 at ___________, Philippines.

MAGNUS ALBERT L. MANALILI

Affiant

SUBSCRIBED AND SWORM to before me this ____ day of _____________ 2019 at

_______________, Philippines.

Doc No. ____;

Page No. ____;
Book No. ____;
Series of 2019