REPUBLIC OF THE PHILIPPINES)

CITY________________________ )S.S.
x - - - - - - - - - - - -x

AFFIDAVIT OF SAME PERSON

I, , minor, Filipino and a resident of No. 4, after having been duly sworn to in
accordance with law hereby depose and say, that:

1. I was informed by my grandmother that she received a letter

2. The name and refers to one and the same person. The address indicated in the
letter is the postal address of my grandmother . Attached hereto is the Certificate
of Live Birth of one for ready reference.

3. I am executing this affidavit to attest to the truth of the foregoing facts.

Affiant

CONFORME:

Parent (Mother)

SUBSCRIBED AND SWORN to before me this _____________ at____________,

Philippines, affiant exhibited to me his __________________ as follows:

Doc. No. ________;

Page No. ________;
Book No.________;
Series of