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Republic of the Philippines… }

CITY OF TAGUM…………….. }S.s.


Province of Davao del Norte.. }
X--------------------------------------X

AFFIDAVIT OF DISCREPANCY

I, NERISSA A. ARABEJO, of legal age, Filipino, married and a resident of Villa Verde,
San Miguel, Tagum City, Davao del Norte, Philippines, after having been duly sworn to in
accordance with law, hereby depose and say:

1. That I am the same person whose person whose personal circumstances are above-
mentioned and who caused the preparation of this affidavit;
2. That upon verification of my Marriage Contract, my year of birth was erroneously entered
as 1971 instead of 1969 which is the correct one;
3. That the said entries should be corrected by way of this affidavit in order to avoid confusion
and to prevent further erroneous entries in subsequent papers and documents;
4. That I hereby attest to the truth of the foregoing statements herein made without mental
reservation whatsoever in order to inform the proper authorities of whatever legal purpose
this affidavit may serve best;
IN WITNESS WHEREOF, I hereby affix my signature this 23 rd day of December, 2010 at
Tagum City, Davao del Norte, Philippines.

NERISSA A. ARABEJO
Affiant
CORROBORATION

WE, the undersigned, both of legal age, Filipinos and residents of Tagum City, Davao del
Norte, Philippines, after having been sworn in accordance with law, depose and say,

1. That we know NERISSA A. ARABEJO personally;


2. That we attest to the truth of the foregoing facts to the above-stated by the affiant in her
affidavit ;
3. That we execute this document to corroborate to the above-stated facts of the affiant;

ERIC G. JOPSON LORIEFE DELOS SANTOS


Corroborator Corroborator
TIN: 279-384-055 TIN: 948-987-416

SUBSCRIBED AND SWORN to before me this 23rd day of December, 2010 at Tagum City,
Davao del Norte, Philippines with the corroborators showing their ID Numbers indicated below
their respective names and signatures.

ATTY. MARIA LINA F. BAURA


Notary Public
Until December 31, 2011
ROLL NO. 46881/PAGE NO. 377; BOOK NO. XIX
PTR NO. 0884606/01-05-10/T.C.
IBP NO. 778871/10-22-09/T.C.
MCLE NO. III-0005250/10-12-09
TIN NO. 178-128-212
Doc No.________;
Page No.________;
Book No.LXXIX;
Series of 2010.

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