You are on page 1of 1

Republic of the Philippines)

City of Iloilo )S.S


x------------------------------x

AFFIDAVIT OF DISCREPANCY
I, ANGELA COLAGO LAGUARDIA, Filipino, of legal age,
single and a resident of Cabugao, New Lucena, Iloilo, after having
been sworn to in accordance with law, depose and say:

That in the records of the Municipal Civil Registrar of New


Lucena, Iloilo, October 29, 1968 appears to be as my date of birth;

That my true and correct date of birth is October 29, 1972 as


shown in my Certificate of Live Birth issued by the National Statistics
Office, a certified true copy of which is marked and attached hereto
as Annex “A”;

That I am executing this Affidavit in order to attest to the truth


of the facts herein stated.

IN WITNESS WHEREOF, I have hereunto set my hand this


15 day of June 2005 at Iloilo City, Philippines.
th

ANGELA COLAGO LAGUARDIA


Affiant

SUBSCRIBED AND SWORN to before me this 15th day of


June 2005 at Iloilo City, Philippines, affiant exhibiting to me her
Community Tax Certificate No. 19235769 issued at New Lucena,
Iloilo on June 6, 2005.

PABLO R. NAVA III


Notary Public
Until December 31, 2006
IBP No. 627537-Iloilo City-Jan. 3, 2005
PTR No. 3376453-Dgas.,Iloilo-Jan. 3, 2005
Roll of Attorneys No. 23482
Doc. No. 303;
Page No. 62;
Book No. XLIV;
Series of 2005.

You might also like