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REPUBLIC OF THE PHILIPPINES}

DONE: IN THE CITY OF BAGUIO } S.S.


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AFFIDAVIT OF DISCREPANCY
I, PATRICIA CELINE G. AGCAOILI, of legal age, single, Filipino citizen, with residence
and postal address at #69 Greenwater Village, Baguio City, Philippines, after having been
sworn to in accordance with law hereby depose and state:
1. That I am the child of Spouses RAYMUNDO AGCAOILI and MARY ANN G.
AGCAOILI;
2. That when I secured a copy of my Certificate of Live Birth from the National Statistics
Office, Baguio City, I discovered that my date of birth as indicated therein is March 1,
1989;
3. That since childhood, I had been using March 11, 1989 as my date of birth
particularly in my scholastic records and in all my identification cards;
4. I am executing this affidavit to attest to the truth of the foregoing facts and to clarify
the discrepancy between the date of birth in my Certificate of Live Birth and in my
identification cards in support of my application for the issuance of a passport; and
6. I am further executing this affidavit for all legal intents it may serve.
IN WITNESS WHEREOF, I have hereunto set my hands this 28th day of November
2012, in Baguio City, Philippines.
PATRICIA CELINE VALDEZ AGCAOILI
Affiant
Drivers License No. A01-01-452631(Valid until August 30, 2013)
SUBSCRIBED AND SWORN to before me in the City of Baguio this 28 th day of
November 2012, by PATRICIA CELINE VALDEZ AGCAOILI, who has satisfactorily proven her
identity to me through her valid Drivers License No. A01-01-452631 valid until August 30, 2013,
that she is the same person who personally signed the foregoing affidavit before me and
acknowledged that she executed the same.

Doc. No. 6 __;


Page No. _ 2 __;
Book No. 1 __;
Series of 2012.

ATTY. JEEKA G. KIMMAYONG


Notary Public
Until December 31, 2015
Room 115, 3rd flr. Santa Luis de Baguio Bldg.
Mabini St., Baguio City
Roll No. 8271151
PTR No. 056857/Baguio City/ 1-3-12
IBP L. M. No. 9043681
MCLE No. 1234567
Baguio-Benguet