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Republic of the Philippines)

Province of Cagayan ) S.S.


Tuguegarao City )
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AFFIDAVIT OF DISCREPANCY

I, MYLIN TERNORA DELOS SANTOS, Filipino, of legal age, married and


resident of Gabut, Amulung, Cagayan, after having been duly sworn to in
accordance with law, do hereby deposes and states THAT:

1. I am the legal heir of the late Melecio Marcos of Gabut, Amulung,


Cagayan who was a human rights victim during the martial law era
in the 1980s;

2. As such, I filed a claim in behalf of my deceased father before the


Human Rights Victims Claims Board;

3. Said Board issued a resolution granting our claim. However, there is


an apparent mistake in my name as indicated in the said resolution
inasmuch as my name was indicated as MYLIN DELOS SANTOS
TERNORA instead of MYLIN TERNORA DELOS SANTOS. (Copy of
my Certificate of Live Birth is hereto attached and marked as Annex
A;

4. I have executed this affidavit to attest to the veracity and


truthfulness of the foregoing statements and to facilitate the
change of my middle and last name in the records with the Human
Rights Victims Claims Board for the purpose of my claim in said
board;

IN WITNESS WHEREOF, I have hereunto affixed my signature this 28th


day of April 2017 in Tuguegarao City, Cagayan, Philippines.

MYLIN T. DELOS
SANTOS
Affiant

SUBSCRIBED AND SWORN to before me this 28th day of April 2017, in


Tuguegarao City, Cagayan, Philippines.

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