Republic of the Philippines)

City of Manila ) S.S.

AFFIDAVIT OF DISCREPANCY

I, __________________________, of legal age, single, Filipino citizen and a

resident of ___________________________________________________________,
after having been sworn to in accordance with law, do hereby depose and say:

1. That I was born on _______________ at ___________________, Philippines;

2. That my full name is “_________________________________” as appearing

in my Certificate of Live Birth as recorded in the Office of Civil Registrar of
__________________________________, Philippines;

3. That in the pertinent documents which I used, I sometimes use the name
“______________________________,” as an abbreviation of my middle
name;

4. That “_________________________” and “__________________________”

is one and the same person, and refers to no other than me;

5. That this affidavit is being executed to attest to the truth of the foregoing facts
and to explain the discrepancy in my Home Development Mutual Fund (Pag-
IBIG) records.

IN WITNESS WHEREOF, I have hereunto affixed my signature this

_______day of September, 2018 in ____________.

_____________________
Affiant

SUBSCRIBED AND SWORN to before me this _______day of September,

2018 at ___________by the named affiant who exhibited to me her UMID with CRN
No. _________________ issued at SSS Manila, Philippines.

Doc. No._______
Page No._______
Book No._______
Series of 2018