ovince of Zamboanga del Sur ) S.S.

City of Pagadian )
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AFFIDAVIT OF DISCREPANCY

I, Vilma Pagan Carriaga, of legal age, married, Filipino and a resident of Purok Roxas,
Balongating Guipos, Philippines, having been duly sworn in accordance with law, hereby depose
and state:

1. That in my Certificate of Live Birth as recorded in the Office of the Civil Registrar of
Dumalinao, Zamboanga del Sur, Philippines, it is stated that I was born on 21 January
1974 at Dumalinao, Zamboanga del Sur, Philippines;

2. That my parents, acting on the honest belief that I was born on 04 November 1970, not
as 21 January 1974 as my birth date in all pertinent records used the former as my true
date of birth.;

3. That when I secured Security Paper from National Statistic Office, Manila I discovered
that as indicated therin which inadvertently and erroneously written the date of my birth
as 21 January 1974 instead of 04 November 1970;

4. That I am executing this Affidavit of Discrepancy to attest to the truth of the foregoing
facts and to explain the discrepancy in my Certificates of Live Birth.in my date of birth;

5. Further, I am declaring that from this date hereon I would be using my true and correct
date of birth of 04 November 1970 in all my papers, records and other documents.

IN WITNESS WHEREOF, I have hereunto set my hand this _____________, at

Pagadian City, Philippines.

VILMA PALGAN CARRIAGA

AFFIANT

REPUBLIC OF THE PHILIPPINES)

CITY OF PAGADIAN ) SS.
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ACKNOWLEDGMENT

BEFORE ME, a Notary Public for and in the City of Pagadian, personally appeared to me
with herVoter's ID No. 1307-0054A-KO470VPC20000-2 issued at Dumalinao, Zamboanga del
Sur, Philippines., personally known to me (or whom I have identified through competent evidence
of identity) and who represented to me that her signature on the foregoing instrument was voluntarily
affixed by her for the purposes stated in the instrument and who declared that she has executed the
foregoing instrument as his/her free and voluntary act and deed.

This Instrument consists of only two (2) page/s, including this page in which this
acknowledgment is written, duly signed by _____________ and his/her instrumental witnesses on
each and every page hereof.

WITNESS MY HAND AND SEAL this _____________ at Pagadian City, Philippines.

NOTARY PUBLIC

Doc. No. ______;

Page No. ______;
Book No.______;
Series of 20____.