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REPUBLIC OF THE PHILIPPINES)

DAVAO CITY..) S.S.

AFFIDAVIT OF DISCREPANCY
I, DANIELLE DANICA BAGARES ACLAN of legal age, Filipino, single and a
resident of Block 19, Lot 1, Phase 1, Carnation St., NHA Bangkal, Davao City, after having been
duly sworn to in accordance with law, do hereby depose and state THAT:

1. I was issued a Drivers License on March 30, 2015;

2. That the same does not reflect my full and complete name due to mere inadvertence;

3. That I wish to correct such error by executing this affidavit;

4. That my full name as reflected in my PRC ID and NSO Birth Certificate is as such:

DANIELLE DANICA BAGARES ACLAN

5. I am executing this Affidavit to attest and declare the truth of the foregoing facts and
for whatever legal purposes that this Affidavit may serve.

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


at Davao City, Philippines.

DANIELLE DANICA BAGARES ACLAN


Affiant
PRC NO. 0152397
SUBSCRIBED AND SWORN TO BEFORE ME, a Notary Public for and in the City
of Davao, Philippines this . Affiant personally came and appeared
before me and exhibited her valid government issued ID as competent proof of her identity.

Doc. No. ____


Page No. ____
Book No. _____
Series of ______

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