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REPUBLIC OF THE PHILIPPINES )

CITY OF TAGBILARAN ) S.S.


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AFFIDAVIT OF DISCREPANCY

I, ALFONSO JABINES AGUAVIVA, JR., of legal age, Filipino, single and a


resident of Barangay Patrocinio, Cortes, Bohol, after having been duly sworn to in
accordance with law, depose and state THAT:

1. I was born on 20th day of July 2001 in Patrocinio, Cortes, Bohol, and my mother,
Zenaida Hangad Jabines as shown in my Certificte of Live Birth and with unknown
father, named me ALFONSO JABINES;

2. I have been using ALFONSO JABINES AGUAVIVA, JR. as my TRUE and


CORRECT NAME in all my private and public documents and transactions;

3. That when I obtained a copy of my Transcript of Records (TOR) and Diploma


issued by San Agustin Academy, Panglao, Bohol, my name appears to be
ALFONSO JABINES AGUAVIVA, JR. while my name as reflected in my Certificate
of Live Birth issued by the National Statistics Office (now Philippine Statistics
Authority) and Birth Certificate issued by Office of the Civil Registrar, Tagbilaran
City, Bohol is ALFONSO JABINES;

4. That “ALFONSO JABINES AGUAVIVA, JR.” per Transcript of Records (TOR) and
Diploma issued by San Agustin Academy, Panglao, Bohol and “ALFONSO
JABINES”, per Certificate of Live Birth issued by National Statistics Office (now
Philippine Statistics Authority), REFER TO ONE AND THE SAME PERSON, which
is ME;

5. That my TRUE and CORRECT NAME is ALFONSO JABINES as what appeared in


my Certificate of Live Birth issued by the National Statistics Office (now Philippine
Statistics Authority) and not “ALFONSO JABINES AGUAVIVA, JR.”;

6. That I execute this Affidavit of Discrepancy to attest to the truth of the foregoing
facts and to explain the discrepancy in my Transcript of Records (TOR),
Diploma and other school records at San Agustin Academy, Panglao,
Bohol with regard to my name and for whatever legal purpose it may serve best.

IN WITNESS WHEREOF, I have hereunto set my hand this 27th day of


November 2018 in Tagbilaran City, Bohol, Philippines.

ALFONSO JABINES
Affiant

SUBCRIBED AND SWORN TO before me this 27th day of November 2018 in


Tagbilaran City, Bohol, Philippines. Affiant exhibiting to me his School ID No. 2017-
11-HUMSS01 issued by Christ the King Academy, Poblacion, Antequera, Bohol,
Philippines, bearing his photo and signature.

DIANE CHRISTI M. GARCIA-CLARABAL


PUBLIC ATTORNEY
(PURSUANT TO R.A. 9406)