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REPUBLIC OF THE PHILIPPINES)

CITY OF ROXAS..) S.S.

JOINT AFFIDAVIT OF DISCREPANCY IN NAME

WE, Maria de Joes AND Pablo Bartolo, both of legal age, Filipino
and with address at Malipayon Village, Roxas City, Capiz, under oath, depose
and state:

1. That, we know VILMA SANTOS, being a close friend of ours


for several years already;

2. That, in her record of birth at the Office of the Municipal Civil


Registrar in Ivisan, Capiz, it was entered therein that her first
name is BELMA;

3. That, said entry in her record of birth at the said office is


erroneous because the true and correct first name of Vilma
Odicta Delos Santos is VILMA and not BELMA;

4. That, the names VILMA SANTOS and BELMA SANTOS refer


to one and the same person;

5. That, we are executing this Affidavit to attest to the


truthfulness of the foregoing facts and to use the same for
whatever legal purpose it may serve.

IN WITNESS WHEREOF, We have hereunto affixed our signatures this


___________________ at the City of Roxas, Capiz, Philippines.

Maria de Jose Paolo Bartolo


Affiant Affiant

SUBSCRIBED AND SWORN TO before me, a Notary Public


commissioned in and for the City of Roxas, Province of Capiz, Philippines, this
___________________ by the affiants who are personally known to me and
that they are the same persons who appeared and signed the foregoing Joint
Affidavit in my presence within my jurisdiction, and who avowed to the truth
of its contents under the penalty of law.

Doc. No.: _____;


Page No.: _____;
Book No.: _____;
Series of 2016.

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