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2. The birth certificate was registered in the Office of the Local City Civil Registrar,
Tacloban City, but without the MIDDLE NAME thus registration was only as JOHN
MICHAEL GRANDE only my First Name and Last Name are supplied therein
respectively;
3. That the registration without the entry was due to simple negligence;
4. Just recently, when I secured the copy of my birth certificate at the PSA, I came
to know that my Middle Name is without entry;
IN TRUTH WHEREOF, I have set and affix my signature this 11th day of
September 2017 at Tacloban City.
SUBSCRIBED AND SWORN TO BEFORE ME, this 11th day of September 2017
in the City of Tacloban, Philippines, Affiant known to me and to me known to be the same
person who executed the foregoing instrument and acknowledged to me that the same is
his free and voluntary act and deed.