Affidavit of Discrepancy - Morcilla - Tagalog

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NREPUBLIC OF THE PHILIPPINES)

CITY OF LUCENA ) S.C.


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

SINUMPAANG SALAYSAY

AKO, VILMA ESPINOSA PUNAY VILLANUEVA, kasal kay


Gaudencio O. Villanueva, nasa hustong gulang, Pilipino, at
naninirahan sa Market View, PArang, Lucena City, Quezon
nagsasalaysay ng mga sumusunod;

NA, ako ay ipinanganak noong NOVEMBER 15, 1969 sa


Boreas Claveria, Masbate at ang mga magulang ko ay sina
ABEDON M. PUNAY na ipinanganak noong December 27, 1935
sa San Romio, Cebu at MATILDAY MALINAW ESPINOSA na
ipinanganak noong May 25, 1940 sa Hagnaya Esperanza
Masbate;

Na isinagawa ko ang salaysay na ito upang patotohanan ang


lahat ng nasasaad sa itaas nito.

SA KATUNAYAN NG LAHAT, ako ay lumagda ngayong ika-


22 ng Abril, 2019 dito sa Lucena City.

VILMA ESPINOSA PUNAY VILLANUEVA


Affiant
Hugpong Federal Movement ID 404488

SUBSCRIBED AND SWORN to before me this 22ND day of


April, 2019 at Lucena City.

Doc. No. ______; ATTY. MICHEL B. PORTUGALIZA


Page No. ______; Public Attorney II
Book No. ______; Pursuant to 9406
Series of 2019
REPUBLIC OF THE PHILIPPINES)
CITY OF LUCENA ) S.C.
x- - - - - - - - - - - - - - - - - - - - - - - - x

AFFIDAVIT OF DISCREPANCY

I, LOURDES M. RAMOS, of legal age, married to Reo E. Ramos,


Filipino and a resident of 18 Jasmin St. Farcon Ville Parian Calamba City,
Laguna after having been duly sworn to in accordance with law, hereby
depose and say:

That I am the daughter of ISABELO MANONGSONG married to Nida


Camacho, as shown their Certificate of Marriage, issued by the Philippine
Statistics Authority with Registry No. 74LQ-76;

That he was born on February 05, 1944 in Sariaya, Quezon;

That in his Philhealth Benefit Eligibility Form issued by the Philippine


Health Insurance Corporation he used the name SABELO J.
MANONGSONG;

That in his Cetificate of Live Birth and Marriage Certificate, issued by


the Philippine Statistics Authority, his name appeared as SABILO J.
MANONGSONG AND ISABELO MANONGSONG;

That I attest to the fact that SABELO J. MANONGSONG, SABILO J.


MANONGSONG and ISABELO MANONGSONG refer to one and the same
person;

And that I am executing this Affidavit to attest to the truth of the


foregoing statements and for legal purpose/s it may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 1 ST


day of February, 2019 at Lucena City.

LOURDES M. RAMOS
Affiant
CRN- 0033-4775377-4
UMID ID
SUBSCRIBED AND SWORN to before me this 1 ST day of February
2019 at Lucena City.

ATTY LIRIO M. MUÑOZ


Public Attorney II
(Pursuant to R.A. 9406)
Doc. No. ______; Page No. ______;
Book No. ______; Series of 2019
REPUBLIC OF THE PHILIPPINES)
CITY OF LUCENA ) S.C.
x- - - - - - - - - - - - - - - - - - - - - - - - x

AFFIDAVIT OF DISCREPANCY

I, RECHELLE A. BAUTISTA, of legal age, married to Vincent B. Tatel,


Filipino and a resident of Purok Atis Mayao Crossing Lucena City after having
been duly sworn to in accordance with law, hereby depose and say;

That I was born on May 26, 1987 in Lucena City;

That in my Certificate of Live Birth issued by the Office of the Civil


Registrar of Lucena City I used the name RECHELLE AGUILA BAUTISTA
and my date of birth appeared on MAY 26, 1987;

That in my Cetificate of Live Birth issued by the Philippine Statistics


Authority, my name appeared as RACHELLE AGUILA BAUTISTA and my
date of birth appeared as on AUGUST 30, 1987;

That I attest to the fact that my birthday is on MAY 26, 1987;

That I attest to the fact that RECHELLE AGUILA BAUTISTA and


RACHELLE AGUILA BAUTISTA refer to one and the same person;

And that I am executing this Affidavit to attest to the truth of the


foregoing statements and for legal purpose/s it may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 1 ST


day of February, 2019 at Lucena City.

RECHELLE BAUTISTA TATEL


Affiant
TIN- 415-201-938-000

SUBSCRIBED AND SWORN to before me this 1 ST day of February


2019 at Lucena City.

ATTY LIRIO M. MUÑOZ


Public Attorney II
(Pursuant to R.A. 9406)
Doc. No. ______; Page No. ______;
Book No. ______; Series of 2019
REPUBLIC OF THE PHILIPPINES)
CITY OF LUCENA ) S.C.
x- - - - - - - - - - - - - - - - - - - - - - - - x

AFFIDAVIT OF DISCREPANCY

I, LORNA PEDERNAL RANILLO, of legal age, married to Antonio Q.


Ranillo, Filipino and a resident of Phase 7 Kitanglad St. Calmar Kan. Mayao
Lucena City after having been duly sworn to in accordance with law, hereby
depose and say;

That I was born on May 31, 1969 in Sta. Cruz, Marinduque;

That in my Certificate of Live Birth issued by the Philippine Statistics


Authority the date of birth I used appeared on MAY 31, 1969;

That in my Marriage Contract issued by Municipality of Sta. Cruz


Province of Marinduque, my date of birth appeared as on MARCH 31, 1969;

That I attest to the fact that my birthday is on MAY 31, 1969;

And that I am executing this Affidavit to attest to the truth of the


foregoing statements and for legal purpose/s it may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 1 ST


day of February, 2019 at Lucena City.

LORNA P. RANILLO
Affiant
TIN- 464-498-369-000

SUBSCRIBED AND SWORN to before me this 1 ST day of February


2019 at Lucena City.

ATTY LIRIO M. MUÑOZ


Public Attorney II
(Pursuant to R.A. 9406)
Doc. No. ______; Page No. ______;
Book No. ______; Series of 2019
REPUBLIC OF THE PHILIPPINES)
CITY OF LUCENA ) S.C.
x- - - - - - - - - - - - - - - - - - - - - - - - x

AFFIDAVIT OF DISCREPANCY

I, LENY BARON SARDAÑAS, of legal age, married to Vincent B.


Tatel, Filipino and a resident of Brgy. Isabang Iyam Lucena City after having
been duly sworn to in accordance with law, hereby depose and say;

That I was born on January 22, 1959 in Bacolod City, Negros


Occidental;

That in my Certificate of Live Birth issued by the Philippine Statistics


Authority I used the name appeared LENY BARON SARDAÑAS;

That in my Bank Account issued by the CARD Bank, Inc. my name


appeared as MARLYN SARDAÑAS;

That I attest to the fact that my name is on LENY BARON


SARDAÑAS;

That I attest to the fact that LENY BARON SARDAÑAS and MARLYN
SARDAÑAS refer to one and the same person;

And that I am executing this Affidavit to attest to the truth of the


foregoing statements and for legal purpose/s it may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 1 ST


day of February, 2019 at Lucena City.

LENY S. TRINIDAD
Affiant
VIN- 5624-0105B-A2259LST20000

SUBSCRIBED AND SWORN to before me this 1 ST day of February


2019 at Lucena City.

ATTY LIRIO M. MUÑOZ


Public Attorney II
(Pursuant to R.A. 9406)
Doc. No. ______; Page No. ______;
Book No. ______; Series of 2019

REPUBLIC OF THE PHILIPPINES)


CITY OF LUCENA ) S.C.
x- - - - - - - - - - - - - - - - - - - - - - - - x

AFFIDAVIT

I, VINSON GAPASAN, of legal age, a resident of Bulakin II Dolores,


Quezon after having been duly sworn to in accordance with law, hereby depose
and say;

That I was born on May 10, 1996 in Dolores, Quezon;

That in my Certificate of Live Birth issued by the Philippine Statistics


Authority I used the name appeared VINSON GAPASAN;

That I used the name VINSON GAPASAN MADRILLEJO after being


legitimated by subsequent marriage of my parents dated June 14, 1996;

That when I requested for a copy of my birth certificate from Philippine


Statistics Authority, I found out that my name was VINSON GAPASAN because
the marriage of my parents was void;

That my mother filed a petition to cancel the legitimation in order to apply


RA 9255 and use my father’s surname;

That when the petition was granted, RA 9255 was already revised last
2016;

That the legal adviser of PSA advised me to use VINSON GAPASAN and
correct all my documents including my school records.

That I attest to the fact that VINSON GAPASAN and VINSON GAPASAN
MADRILLEJO refer to one and the same person;

And that I am executing this Affidavit to attest to the truth of the foregoing
statements and for legal purpose/s it may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 1 ST


day of February, 2019 at Lucena City.
VINSON GAPASAN
Affiant
MID NO. 1211-6833-3611
SUBSCRIBED AND SWORN to before me this 1ST day of February 2019
at Lucena City.

ATTY LIRIO M. MUÑOZ


Public Attorney II
Doc. No. ______; Page No. ______; (Pursuant to RA 9406)
Book No. ______; Series of 2019
REPUBLIC OF THE PHILIPPINES)
CITY OF LUCENA ) S.C.
x- - - - - - - - - - - - - - - - - - - - - - - - x

AFFIDAVIT OF DISCREPANCY

I, JOLLYVI E. RIVERA, of legal age, a resident of Purok Matahimik Brgy.


Cotta, Lucena City after having been duly sworn to in accordance with law,
hereby depose and say;

That I was born on September 16, 1992 in Camarines Sur;

That in my Certificate of Live Birth issued by the Philippine Statistics


Authority I used the name appeared JOLLYVI ESTRICOMEN RIVERA;

That in her Voter’s I.D, issued by the Commission on Election Lucena


City, Quezon with VIN: 5624-0146A-I1692JER20000 her name appeared as
JOLLYVI ESTRICUMEN RIVERA;

That I attest to the fact that JOLLYVI ESTRICOMEN RIVERA and


JOLLYVI ESTRICUMEN RIVERA refer to one and the same person;

And that I am executing this Affidavit to attest to the truth of the foregoing
statements and for legal purpose/s it may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 14 TH


day of February, 2019 at Lucena City.
JOLLYVI ESTRICOMEN RIVERA
Affiant
VIN: 5624-0146A-I1692JER20000
SUBSCRIBED AND SWORN to before me this 14TH day of February 2019
at Lucena City.

ATTY. LEONEL P. CADIZ


Public Attorney II
Doc. No. 917; Page No. 112; (Pursuant to RA 9406)
Book No. I; Series of 2019
REPUBLIC OF THE PHILIPPINES)
CITY OF LUCENA ) S.S.
x- - - - - - - - - - - - - - - - - - - - - - - - x

JOINT AFFIDAVIT DISCREPANCY

WE, LORENA I. ALVARICO and DANNY A. SAJOL both of legal age,


Filipinos and both are presently residents of Brgy. 7 Lucena City, after having
been duly sworn to in accordance with law depose and say:

That we personally know one JENNIFER TAN MONZONES who was


born on December 31, 1975 and her parents are Ambie Tan and Editha
Gonzales;
That he uses the name JENNIFER TAN MONZONES since his
childhood and all of his official records bear the same first name;

That due to error made in the entry of her first name, which is not his
own doing and beyond her control, her first name appearing in the official
record of Certificate of Live Birth issued by Philippine Statistics Authority not
JEN which is JENNIFER her correct first name;

That we know for a fact that JEN TAN MANZONES and JENNIFER
TAN MONZONES refers to one and the same person;

And that we are executing this Affidavit of Discrepancy to attest to the


truth of the foregoing statement.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 4th


day of April, 2019 at Lucena City.

LORENA L. ALVARICO DANNY ANIELSANTO SAJOL


Affiant Affiant
Yellow Card No. 45624010 SBM2 SSS ID No.04-3476414-5

SUBSCRIBED AND SWORN to before me this 4 th day of February,


2019 at Lucena City.

ATTY. FRANCES DYAN T. LIM


Public Attorney II
(Pursuant to R.A. 9406)

REPUBLIC OF THE PHILIPPINES)


CITY OF LUCENA ) S.S.
x- - - - - - - - - - - - - - - - - - - - - - - - x

JOINT AFFIDAVIT DISCREPANCY

WE, SHERYL A. GOZO and RONNEL S. ANDRADE both of legal age,


Filipinos and both are presently residents of Dalahican Lucena City, after
having been duly sworn to in accordance with law depose and say:

That we personally know one NILO M. LEGASPI who was born on


November 23, 1972 and her parents are Amado Legaspi and Felina Mendez;
That he uses the name NILO M. LEGASPI since his childhood and all
of his official records bear the same first name;

That due to error made in the entry of her first name, which is not his
own doing and beyond her control, her last name appearing in the official
record of Certificate of Live Birth issued by Philippine Statistics Authority not
LIGASPI which is LEGASPI her correct last name;

That we know for a fact that NILO M. LIGASPI and NILO M. LEGASPI
refers to one and the same person;

And that we are executing this Affidavit of Discrepancy to attest to the


truth of the foregoing statement.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 4th


day of April, 2019 at Lucena City.

SHERYL A. GOZO RONNEL S. ANDRADE


Affiant Affiant
Philhealth ID No. 08-252398150-8 UMID ID No. 0004-1331397-3

SUBSCRIBED AND SWORN to before me this 4 th day of February,


2019 at Lucena City.

ATTY. FRANCES DYAN T. LIM


Public Attorney II
(Pursuant to R.A. 9406)

REPUBLIC OF THE PHILIPPINES)


CITY OF LUCENA ) S.C.
x- - - - - - - - - - - - - - - - - - - - - - - - x

AFFIDAVIT OF DISCREPANCY

I, MELCHOR DARCEN ANGELES, of legal age, married to LORNA P.


HOLANDA, Filipino and a resident of Purok 2 Ilaya Brgy. Dalahican, Lucena
City after having been duly sworn to in accordance with law, hereby depose
and say:
That I am the wife of LORNA PERPIÑAN HOLANDA, as shown her
Certificate of Live Birth, issued by the Philippine Statistics Authority with Local
Registry No. 693;

That she was born on September 10, 1964 in Catanauan, Quezon as


shown in her Certificate of Live Birth, issued by the Philippine Statistics
Authority;

That in our Marriage Certificate, issued by the Philippine Statistics


Authority, her birth of date appeared on APRIL 5,1966 and her mother’s
surname appeared as PERPEÑAN;

That I attest to the fact that her real birth of date was on SEPTEMBER
10, 1964 and her mother’s real surname is PERPEÑAN;

That I attest to the fact that LORNA PERPIÑAN HOLANDA and


LORNA PERPEÑAN HOLANDA refer to one and the same surname;

And that I am executing this Affidavit to attest to the truth of the


foregoing statements and for legal purpose/s it may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


14TH day of February, 2019 at Lucena City.

MELCHOR DARCEN ANGELES


Affiant
DL NO. C07-99-178189

SUBSCRIBED AND SWORN to before me this 14 TH day of February


2019 at Lucena City.

ATTY. LEONEL P. CADIZ


Public Attorney II
(Pursuant to R.A. 9406)
Doc. No. ______; Page No. ______;
Book No. ______; Series of 2019

REPUBLIC OF THE PHILIPPINES)


CITY OF LUCENA ) S.C.
x- - - - - - - - - - - - - - - - - - - - - - - - x
AFFIDAVIT OF DISCREPANCY

I, JERRY CORTEZANO FRAGATA, of legal age, single, Filipino and a


resident of Purok Sampagita Rosario Village Brgy. Ila. Iyam, Lucena City after
having been duly sworn to in accordance with law, hereby depose and say:

That I am the son of PETANIA CORTEZANO FRAGATA, as shown her


Senior Citizen I.D, issued by the Office of the Senior Citizens Affairs with SC
I.D No. 2015-08-13199556;

That she was born on September 27, 1939 in Libmanan, Camarines


Sur;

That in her Voter Certification, issued by the Commission on Election


Lucena City, Quezon with VIN: 5624-0468A-I2739PCF20000-1 her name
appeared as PETANIA CORTISANA FRAGATA;

That in her Member Data Record, issued by the PHILHEALTH


Insurance Corporation Lucena City, Quezon with PHILHEALTH ID NO:
081753715142 her name appeared as PETANIA CONTEZANO FRAGATA;

That I attest to the fact that PETANIA CORTEZANO FRAGATA,


PETANIA CORTISANA FRAGATA and PETANIA CONTEZANO FRAGATA
refer to one and the same surname;

And that I am executing this Affidavit to attest to the truth of the


foregoing statements and for legal purpose/s it may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


TH
14 day of February, 2019 at Lucena City.

JERRY CORTEZANO FRAGATA


Affiant
DL NO. D09-00-081949

SUBSCRIBED AND SWORN to before me this 14 TH day of February


2019 at Lucena City.

ATTY. LEONEL P. CADIZ


Public Attorney II
(Pursuant to R.A. 9406)
Doc. No. ______; Page No. ______;
Book No. ______; Series of 2019
REPUBLIC OF THE PHILIPPINES)
CITY OF LUCENA ) S.C.
x- - - - - - - - - - - - - - - - - - - - - - - - x
AFFIDAVIT OF DISCREPANCY

I, JOLLYVI E. RIVERA, of legal age, single, Filipino and a resident of


Purok Sampagita Rosario Village Brgy. Ila. Iyam, Lucena City after having
been duly sworn to in accordance with law, hereby depose and say:

That I am the son of PETANIA CORTEZANO FRAGATA, as shown her


Senior Citizen I.D, issued by the Office of the Senior Citizens Affairs with SC
I.D No. 2015-08-13199556;

That she was born on September 27, 1939 in Libmanan, Camarines


Sur;

That in her Voter Certification, issued by the Commission on Election


Lucena City, Quezon with VIN: 5624-0468A-I2739PCF20000-1 her name
appeared as PETANIA CORTISANA FRAGATA;

That in her Member Data Record, issued by the PHILHEALTH


Insurance Corporation Lucena City, Quezon with PHILHEALTH ID NO:
081753715142 her name appeared as PETANIA CONTEZANO FRAGATA;

That I attest to the fact that PETANIA CORTEZANO FRAGATA,


PETANIA CORTISANA FRAGATA and PETANIA CONTEZANO FRAGATA
refer to one and the same surname;

And that I am executing this Affidavit to attest to the truth of the


foregoing statements and for legal purpose/s it may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


14TH day of February, 2019 at Lucena City.

JERRY CORTEZANO FRAGATA


Affiant
DL NO. D09-00-081949

SUBSCRIBED AND SWORN to before me this 14 TH day of February


2019 at Lucena City.

ATTY. LEONEL P. CADIZ


Public Attorney II
(Pursuant to R.A. 9406)
Doc. No. ______; Page No. ______;
Book No. ______; Series of 2019
REPUBLIC OF THE PHILIPPINES)
CITY OF LUCENA ) S.C.
x- - - - - - - - - - - - - - - - - - - - - - - - x

AFFIDAVIT OF DISCREPANCY
I, MARK LEO A. VILLARUEL, of legal age, single, Filipino and a
resident of Brgy. Central Wakas, Taybas City after having been duly sworn to
in accordance with law, hereby depose and say:

That I am the son of Marcelino Villaruel and Llana Villaruel;

That in their marriage ;

That in my Certificate of Live Birth issued by the Office of the Civil


Registrar General with Registry No. 189-17 my name appeared as ANTONIO
YORDAN VALIENTE;

That in my daughter Certificate of Live Birth, issued by Office of the


Civil Registry General with Registry No. 2013-537 my middle name appeared
as YARDAN instead of YORDAN;

That I attest to the fact that ANTONIO YORDAN VALIENTE and


ANTONIO YARDAN VALIENTE refer to one and the same person;

And that I am executing this Affidavit to attest to the truth of the


foregoing statements and for legal purpose/s it may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


15TH day of February, 2019 at Lucena City.

ANTONIO YORDAN VALIENTE


Affiant
YELLOW CARD ID NO: 88-DAL-25654

SUBSCRIBED AND SWORN to before me this 15 TH day of February


2019 at Lucena City.

ATTY. LIRIO R. MUÑOZ


Public Attorney II
(Pursuant to R.A. 9406)
Doc. No. 705; Page No. 91;
Book No. I; Series of 2019

REPUBLIC OF THE PHILIPPINES)


CITY OF LUCENA ) S.S.
x- - - - - - - - - - - - - - - - - - - - - - - - x

JOINT AFFIDAVIT
WE, ROSEMARIE A. MANANGAN and ROSALIE B. USONA, both of legal
age, Filipino Citizens, and residents of Brgy. Ibabang Dupay, Lucena City,
after having been duly sworn in accordance with law, do hereby depose and
state that:

1. We personally know PRINCESS KAZUME CANGAS PEPITO;

2. That we know for a fact that she was born on May 19, 2018 at Quezon
Medical Center, Lucena City;

3. That however due to negligence, said birth is not yet registered at the
Office of the Civil Registrar of Lucena City and produce a negative
result at PSA;

4. That we are executing this affidavit to attest the truth of the foregoing
facts, requesting the Office concerned to cause the delayed registration
of her birth and/ or for whatever legal purpose this may serve.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this 18 th


day of February 2019 at Lucena City.

ROSEMARIE A. MANANGAN ROSALIE B. USONA


Affiant Affiant
VIN: 5624-0327A-A0383RAM20000 VIN: 5624-0328A-C2783RBU20000

SUBSCRIBED AND SWORN to before me on the date and place mentioned


above.

Doc. No.____ ATTY. NORBERTO J. FRIANEZA I


Page No.____ Public Attorney II
Book I. Pursuant to R.A. 9406
Series of 2019.

REPUBLIC OF THE PHILIPPINES)


CITY OF LUCENA ) S.C.
x- - - - - - - - - - - - - - - - - - - - - - - - x

AFFIDAVIT OF DISCREPANCY
I, JOBERT V. ORTEGA, of legal age, married to AIZA A. ORTEGA,
Filipino and a resident of Janagdong 1, Sariaya, Quezon after having been
duly sworn to in accordance with law, hereby depose and say:

That I am the son of ARTHUR GUSAYAN ORTEGA, as shown his


Certificate of Live Birth, issued by the Philippine Statistics Authority;

That I was born on May 22, 1989 in Batangas City;

That in my Certificate of Live Birth, issued by the Philippine Statistics


Authority with Registry No. 89-2682 my father’s middle name appeared as
HUSAYAN instead of GUSAYAN;

That I attest to the fact that ARTHUR HUSAYAN ORTEGA and


ARTHUR GUSAYAN ORTEGA refer to one and the same person;

And that I am executing this Affidavit to attest to the truth of the


foregoing statements and for legal purpose/s it may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


TH
18 day of February, 2019 at Lucena City.

JOBERT V. ORTEGA
Affiant
DL NO. D09-09-003583

SUBSCRIBED AND SWORN to before me this 18 TH day of February


2019 at Lucena City.

ATTY. NORBERTO J. FRIANEZA I


Public Attorney II
(Pursuant to R.A. 9406)
Doc. No. ______; Page No. ______;
Book No. ______; Series of 2019
REPUBLIC OF THE PHILIPPINES)
CITY OF LUCENA ) S.C.
x- - - - - - - - - - - - - - - - - - - - - - - - x

AFFIDAVIT OF DISCREPANCY

I, MERCEDITA CAMACHO CARAOS, of legal age, married to


VICENTE ALCANTARA CARAOS, Filipino and a resident of Purok 5 Brgy.
Sampaloc, Sariaya, Quezon after having been duly sworn to in accordance
with law, hereby depose and say:

That I am MERCEDES MAGNAYE CAMACHO, as shown in my


Certificate of Live Birth, issued by the Philippines Statistics Authority with
Local Registry No. 76 and my birthdate appeared as on JANUARY 11, 1965;

That I attest to the fact that I was born on JANUARY 04, 1965 in Sto.
Cristo Sariaya, Quezon;

That when I got married on 2 December 1990 to VICENTE


ALCANTARA CAMACHO, I started using the name MERCEDES CAMACHO
CARAOS

That in my Voter Certification, issued by the Commission on Election


Lucena City, Quezon with VIN: 5645-0231A-A0465MCC20000-3 my name
appeared as MERCEDITA CAMACHO CARAOS;

That I attest to the fact that MERCEDITA MAGNAYE CAMACHO-


CARAOS, MERCEDES MAGNAYE CAMACHO and MERCEDITA
CAMACHO CARAOS refer to one and the same person only;

And that I am executing this Affidavit to attest to the truth of the


foregoing statements and for legal purpose/s it may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


20TH day of February, 2019 at Lucena City.

MERCEDITA CAMACHO CARAOS


Affiant
VIN: 5645-0231A-A0465MCC20000-3
SUBSCRIBED AND SWORN to before me this 20 TH day of February
2019 at Lucena City.

ATTY. CHARMELAINE A. LAHAT


Public Attorney I
(Pursuant to R.A. 9406)
Doc. No. ______; Page No. ______;
Book No. ______; Series of 2019

REPUBLIC OF THE PHILIPPINES)


CITY OF LUCENA ) S.C.
x- - - - - - - - - - - - - - - - - - - - - - - - x

AFFIDAVIT OF DISCREPANCY

I, AMELIA ALANO IBAÑEZ, of legal age, single, Filipino and a


resident of Purok Bagong Pagasa Brgy. Ibabang Dupay, Lucena City after
having been duly sworn to in accordance with law, hereby depose and say:

That I am the sister of JUN JUN ALANO IBAÑEZ, as shown in his


Certificate of Live Birth, issued by the Philippines Statistics Authority with
Registry No. 95-5648 and our mother’s maiden name appeared in his
Certificate of Live Birth as PRIMA MOSARES ALANO instead of PRIMA
MUZARES ALANO;

That I attest to the fact that PRIMA MOSARES ALANO and PRIMA
MUZARES ALANO refer to one and the same person only;

And that I am executing this Affidavit to attest to the truth of the


foregoing statements and for legal purpose/s it may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


TH
20 day of February, 2019 at Lucena City.

AMELIA ALANO IBAÑEZ


Affiant
VIN: 5624-0351B-A2789AAI20000
SUBSCRIBED AND SWORN to before me this 20 TH day of February
2019 at Lucena City.

ATTY. CHARMELAINE A. LAHAT


Public Attorney I
(Pursuant to R.A. 9406)
Doc. No. ______; Page No. ______;
Book No. ______; Series of 2019

REPUBLIC OF THE PHILIPPINES)


CITY OF LUCENA ) S.C.
x- - - - - - - - - - - - - - - - - - - - - - - - x

AFFIDAVIT OF DISCREPANCY

I, AMELIA ALANO IBAÑEZ, of legal age, single, Filipino and a


resident of Purok Bagong Pagasa Brgy. Ibabang Dupay, Lucena City after
having been duly sworn to in accordance with law, hereby depose and say:

That I am the sister of MELVIN ALANO IBAÑEZ, as shown in his


Certificate of Live Birth, issued by the Philippines Statistics Authority with
Registry No. 90-6434 and our father’s name appeared in his Certificate of Live
Birth as BENITO MERCAD IBAÑEZ instead of BENITO MERCA IBAÑEZ;

That I attest to the fact that BENITO MERCAD IBAÑEZ and BENITO
MERCA IBAÑEZ refer to one and the same person only;
And that I am executing this Affidavit to attest to the truth of the
foregoing statements and for legal purpose/s it may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


TH
20 day of February, 2019 at Lucena City.

AMELIA ALANO IBAÑEZ


Affiant
VIN: 5624-0351B-A2789AAI20000

SUBSCRIBED AND SWORN to before me this 20 TH day of February


2019 at Lucena City.

ATTY. CHARMELAINE A. LAHAT


Public Attorney I
(Pursuant to R.A. 9406)
Doc. No. ______; Page No. ______;
Book No. ______; Series of 2019

REPUBLIC OF THE PHILIPPINES)


CITY OF LUCENA ) S.C.
x- - - - - - - - - - - - - - - - - - - - - - - - x

AFFIDAVIT OF DISCREPANCY

I, JUAN DE LOS REYES CARIÑO, of legal age, single, Filipino and a


resident of 12 Ciudad Maharlika Brgy. Ibabang Iyam, Lucena City after having
been duly sworn to in accordance with law, hereby depose and say:
That I am JUAN DE LOS REYEZ CARIÑO, as shown in my Certificate
of Live Birth, issued by the Philippines Statistics Authority with Local Civil
Registrar No. 1011;

That I attest to the fact that I was born on MAY 06, 1984 in Lopez,
Quezon;

That in my Certificate of Live Birth issued by the Office of the Civil


Registrar Lopez, Quezon with Registry No. 1011 and my name appeared as
JUAN R. CARIÑO;

That in my Non- Professional Driver’s License, issued by Land


Transportation Office Lucena City, Quezon with License No. D09-18-002346
my name appeared as JUAN DE LOS REYES CARIÑO;

That I attest to the fact that JUAN DE LOS REYEZ CARIÑO, JUAN R.
CARIÑO and JUAN DE LOS REYES CARIÑO refer to one and the same
person only;

And that I am executing this Affidavit to attest to the truth of the


foregoing statements and for legal purpose/s it may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


TH
21 day of February, 2019 at Lucena City.

JUAN DE LOS REYES CARIÑO


Affiant
DL No. D09-18-002346

SUBSCRIBED AND SWORN to before me this 21 TH day of February


2019 at Lucena City.

REPUBLIC OF THE PHILIPPINES)


CITY OF LUCENA ) S.C.
x- - - - - - - - - - - - - - - - - - - - - - - - x

JOINT AFFIDAVIT

WE, CRISALY P. ARIDA and JOSEPHINE C. ORBES both


of legal ages, Filipinos and both are presently residents of Brgy.
Isabang, Lucena City, after having been duly sworn to in
accordance with law depose and say:
That we personally know one AIDA IVY MAE TAN ONG who
was born on April 19, 1969 in Davao City and her parents are
MARCELO T. ONG and ANECITA B. TAN;
That we are family friends for more than ten (10) years
already;
That she used the name AIDA IVY MAE T. ONG since her
childhood and in all her official records when she was still single;
That when she got married on 10 December 2008 to
ROLAND S. ARNAIZ, she started using the name AIDA IVY MAE
T. ONG ARNAIZ, as shown in her Certificate of Marriage, with
Registry No. 2008-233;
And that we are executing this Affidavit to attest to the truth
of the foregoing statement and for all legal purpose/s it may serve.
IN WITNESS WHEREOF, we have hereunto affixed our
signatures this 21st day of February, 2019 at Lucena City.

CRISALY P. ARIDA JOSEPHINE C. ORBES


Affiant Affiant
Yellow Card ID No. 88-ISB-66481 Yellow Card ID No. 88-ISB-65255

SUBSCRIBED AND SWORN to before me this 21st day of February,


2019 at Lucena City.

ATTY. LEONEL P. CADIZ


Public Attorney II
(Pursuant to R.A. 9406)
Doc. No. ______; Page No. ______;
Book No. ______; Series of 2019

REPUBLIC OF THE PHILIPPINES)


CITY OF LUCENA ) S.C.
x- - - - - - - - - - - - - - - - - - - - - - - - x

AFFIDAVIT OF DISCREPANCY

I, ALVIN S. MERCADO, of legal age, married to MARIA ORBIS


MERCADO, Filipino and a resident of Brgy. Dalahican, Lucena City after
having been duly sworn to in accordance with law, hereby depose and say:
That I am the brother of KATHERINE SARINAS MERCADO, as shown
in her Certificate of Live Birth, issued by the Philippines Statistics Authority
with Registry No. 2011-10699 and her name appeared as KATHERINE
SARINAS MERCADO instead of KATHERINE SARENAS MERCADO;

That I attest to the fact that KATHERINE SARINAS MERCADO and


KATHERINE SARENAS MERCADO refer to one and the same person only;

And that I am executing this Affidavit to attest to the truth of the


foregoing statements and for legal purpose/s it may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


20TH day of February, 2019 at Lucena City.

ALVIN S. MERCADO
Affiant
UMID ID No. 0111-3749733-6

SUBSCRIBED AND SWORN to before me this 20 TH day of February


2019 at Lucena City.

ATTY. LEONEL P. CADIZ


Public Attorney I
(Pursuant to R.A. 9406)
Doc. No. ______; Page No. ______;
Book No. ______; Series of 2019

REPUBLIC OF THE PHILIPPINES)


CITY OF LUCENA ) S.C.
x- - - - - - - - - - - - - - - - - - - - - - - - x

AFFIDAVIT OF DISCREPANCY

I, JULIE ANNE DUMANACAL LAGARILE, of legal age, single, Filipino


and a resident of Brgy. 10 (Pob.), Lucena City after having been duly sworn to
in accordance with law, hereby depose and say:
That I am JULIEANNE DUMANACAL LEGARILE, as shown in my
Certificate of Live Birth, issued by the Philippines Statistics Authority with
Local Civil Registrar No. 9042714 my first name appeared as JULIEANNE
instead of JULIE ANNE and my last name appeared as LEGARILE instead of
LAGARILE;
That I attest to the fact that I was born on JULY 03, 1990 in Paco,
Manila;
That in my Voter Certification, issued by the Commission on Election
Lucena City, Quezon with VIN: 5624-0102A-G0390JDL200001 her name
appeared as JULIE ANNE DUMANACAL LAGARILE;
That in my Unified Multi-Purpose ID, issued by Social Security System
Lucena City, Quezon with CRN: 0111-8567578-6 my name appeared as
JULIE ANNE DUMANACAL LEGARILE;
That in my PHILHEALTH ID, issued by Philippine Health Insurance
Corporation Lucena City, Quezon with ID No. 02-051106549-7 my name
appeared as JULIEANNE DUMANACAL LAGARILE;
That I attest to the fact that JULIEANNE DUMANACAL LEGARILE,
JULIE ANNE DUMANACAL LEGARILE and JULIEANNE DUMANACAL
LAGARILE refer to one and the same person only;

And that I am executing this Affidavit to attest to the truth of the n


foregoing statements and for legal purpose/s it may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


21ST day of February, 2019 at Lucena City.

JULIE ANNE DUMANCAL LAGARILE


Affiant
VIN: 5624-0102A-G0390JDL20000

SUBSCRIBED AND SWORN to before me this 21 ST day of February


2019 at Lucena City.

ATTY. LEONEL P. CADIZ


Public Attorney II
(Pursuant to R.A. 9406)

REPUBLIC OF THE PHILIPPINES)


CITY OF LUCENA ) S.C.
x- - - - - - - - - - - - - - - - - - - - - - - - x

JOINT AFFIDAVIT

WE, ASNIAH H. PAMALOY and DAYANARA A. OLIVEROS


both of legal ages, Filipinos and both are presently residents of
Brgy. Cotta, Lucena City and Brgy. Caglate, Alabat, Quezon after
having been duly sworn to in accordance with law depose and say:
That we personally know one MARLON BORJA PARAFINA
who was born on FEBRUARY 03, 1996 in Poblacion 2 Agdangan,
Quezon and his parents are ANTONINO C. PARAFINA and
VILMA B. PARAFINA;
That we are officemates and friends for more than one (1)
year already;
That in his official record in Social Security System with SS
No. 0441544303 his birthdate appeared as on FEBRUARY 03,
1994;
That he used birthdate on FEBRUARY 03, 1996 since his
childhood and in all her official records;
That we attest to the fact that his birthdate is on FEBRUARY
03, 1996;
And that we are executing this Affidavit to attest to the truth
of the foregoing statement and for all legal purpose/s it may serve.

IN WITNESS WHEREOF, we have hereunto affixed our


signatures this 21st day of February, 2019 at Lucena City.

ASNIAH H. PAMALOY DAYANARA A. OLIVEROS


Affiant Affiant
EMPLOYEE ID No. 12797 EMPLOYEE ID No. 12235

SUBSCRIBED AND SWORN to before me this 21st day of February,


2019 at Lucena City.

ATTY. LEONEL P. CADIZ


Public Attorney II
(Pursuant to R.A. 9406)
Doc. No. ______; Page No. ______;
Book No. ______; Series of 2019

REPUBLIC OF THE PHILIPPINES)


CITY OF LUCENA ) S.C.
x- - - - - - - - - - - - - - - - - - - - - - - - x

AFFIDAVIT OF DISCREPANCY
I, REBY BARQUILLA PERILLO, of legal age, married to ALEX DADIA
PERILLO, Filipino and a resident of Brgy. Bocohan, Lucena City after having
been duly sworn to in accordance with law, hereby depose and say:

That I am the mother of JOSHUA MARQUILLA PERILLO, as shown in


his Certificate of Live Birth, issued by the Philippines Statistics Authority with
Local Civil Registrar No. 18-5973 and his middle name appeared as
MARQUILLA instead of BARQUILLA;

That I attest to the fact that he was born on OCTOBER 21, 1988 in
Bocohan, Lucena City;

That in his Yellow Card ID, issued by the Lucena City, Quezon with ID
No. 22902 his name appeared as JOSHUA B. PERILLO;

That in his Certificate of Live Birth, issued by the Philippine Statistics


Authority my name appeared as REBY CORDIAL MARQUILLA instead of
REBY CORDIAL BARQUILLA;

That when I got married on 10 July 1996 to ALEX DADIA PERILLO, I


started using the name REBY BARQUILLA PERILLO;

That in his Certificate of Live Birth, issued by the Philippine Statistics


Authority his father’s name appeared as ALEXANDER GADIA PERILLO
instead of ALEX DADIA PERILLO;

That I attest to the fact that JOSHUA MARQUILLA PERILLO and


JOSHUA B. PERILLO refer to one and the same person only;

That I attest to the fact that REBY CORDIAL MARQUILLA, REBY


CORDIAL BARQUILLA and REBY BARQUILLA PERILLO refer to one and
the same person only;

That I attest to the fact that ALEXANDER GADIA PERILLO and ALEX
DADIA PERILLO refer to one and the same person only;

And that I am executing this Affidavit to attest to the truth of then


foregoing statements and for legal purpose/s it may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


21ST day of February, 2019 at Lucena City.

REBY BARQUILLA PERILLO


Affiant
PhilHealth ID No. 08-200859621-9

SUBSCRIBED AND SWORN to before me this 21 ST day of February


2019 at Lucena City.

ATTY. LEONEL P. CADIZ


Public Attorney II
(Pursuant to R.A. 9406)

REPUBLIC OF THE PHILIPPINES)


CITY OF LUCENA ) S.C.
x- - - - - - - - - - - - - - - - - - - - - - - - x

AFFIDAVIT OF DISCREPANCY

I, GINALYN NAESA IMPERIAL, of legal age, single mother, Filipino


and a resident of Brgy. 10, Lucena City after having been duly sworn to in
accordance with law, hereby depose and say:
That I am GINALYN NAESA IMPERIAL, born on NOVEMBER 22,
1988 in Lucena City, as shown in my Certificate of Live Birth, issued by the
Philippine Statistics Authority with Local Civil Registry No. 88-5793;
That in my Yellow Card I.D, issued by the City of Lucena with ID No.
88-B10-4508P, my name appeared as GENALYN NAESA IMPERIAL instead
of GINALYN NAESA IMPERIAL;
That in my Voter’s I.D, issued by the Commission on Election, my
name appeared as GENALYN NAESA IMPERIAL instead of GINALYN
NAESA IMPERIAL;
That in my PhilHealth Data Member Record, issued by the Philippine
Health Insurance Corporation, my name appeared as GENALYN NAESA
IMPERIAL instead of GINALYN NAESA IMPERIAL;
That I am the mother of TERRENCE IMPERIAL MIRABEL, as shown
in his Certificate of Live Birth issued by the Office of the Civil Registrar
General with Registry No. 2013-1691, and my name in his Certificate of Live
Birth appeared as GENALYN NAESA IMPERIAL instead of GINALYN
NAESA IMPERIAL;
That I attest to the fact that GENALYN NAESA IMPERIAL and
GINALYN NAESA IMPERIAL refer to one and the same person;
And that I am executing this Affidavit to attest to the truth of the
foregoing statements and for legal purpose/s it may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


26TH day of February, 2019 at Lucena City.

GINALYN NAESA IMPERIAL


Affiant
4PS ID 045624003-2005-00010
SUBSCRIBED AND SWORN to before me this 26 TH day of February
2019 at Lucena City.

CHRISTINE OLIVA T. MALIWANAG- PANLASIGUI


Public Attorney II
(Pursuant to R.A. 9406)
Doc. No. ______; Page No. ______;
Book No. ______; Series of 2019

REPUBLIC OF THE PHILIPPINES)


CITY OF LUCENA ) S.C.
x- - - - - - - - - - - - - - - - - - - - - - - - x

AFFIDAVIT OF DISCREPANCY

I, GINALYN NAESA IMPERIAL, of legal age, single mother, Filipino


and a resident of Brgy. 10, Lucena City after having been duly sworn to in
accordance with law, hereby depose and say:
That I am GINALYN NAESA IMPERIAL, born on NOVEMBER 22,
1988 in Lucena City, as shown in my Certificate of Live Birth, issued by the
Philippine Statistics Authority with Local Civil Registry No. 88-5793;
That in my Yellow Card I.D, issued by the City of Lucena with ID No.
88-B10-4508P, my name appeared as GENALYN NAESA IMPERIAL instead
of GINALYN NAESA IMPERIAL;
That in my Voter’s I.D, issued by the Commission on Election, my
name appeared as GENALYN NAESA IMPERIAL instead of GINALYN
NAESA IMPERIAL;
That in my PhilHealth Data Member Record, issued by the Philippine
Health Insurance Corporation, my name appeared as GENALYN NAESA
IMPERIAL instead of GINALYN NAESA IMPERIAL;
That I am the mother of PAULA IMPERIAL MIRABEL, as shown in his
Certificate of Live Birth issued by the Office of the Civil Registrar General with
Registry No. 2011-3144, my name appeared in his Certificate of Live Birth as
GENALYN NAESA IMPERIAL instead of GINALYN NAESA IMPERIAL;

That I attest to the fact that GENALYN NAESA IMPERIAL and


GINALYN NAESA IMPERIAL refer to one and the same person;
And that I am executing this Affidavit to attest to the truth of the
foregoing statements and for legal purpose/s it may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


26TH day of February, 2019 at Lucena City.

GINALYN NAESA IMPERIAL


Affiant
4PS ID 045624003-2005-00010
SUBSCRIBED AND SWORN to before me this 26 TH day of February
2019 at Lucena City.

CHRISTINE OLIVA T. MALIWANAG- PANLASIGUI


Public Attorney II
(Pursuant to R.A. 9406)
Doc. No. ______; Page No. ______;
Book No. ______; Series of 2019

REPUBLIC OF THE PHILIPPINES)


CITY OF LUCENA ) S.C.
x- - - - - - - - - - - - - - - - - - - - - - - - x

AFFIDAVIT OF DISCREPANCY

I, GINALYN NAESA IMPERIAL, of legal age, single mother, Filipino


and a resident of Brgy. 10, Lucena City after having been duly sworn to in
accordance with law, hereby depose and say:
That I am GINALYN NAESA IMPERIAL, born on NOVEMBER 22,
1988 in Lucena City, as shown in my Certificate of Live Birth, issued by the
Philippine Statistics Authority with Local Civil Registry No. 88-5793;
That in my Yellow Card I.D, issued by the City of Lucena with ID No.
88-B10-4508P, my name appeared as GENALYN NAESA IMPERIAL instead
of GINALYN NAESA IMPERIAL;
That in my Voter’s I.D, issued by the Commission on Election, my
name appeared as GENALYN NAESA IMPERIAL instead of GINALYN
NAESA IMPERIAL;
That in my PhilHealth Data Member Record, issued by the Philippine
Health Insurance Corporation, my name appeared as GENALYN NAESA
IMPERIAL instead of GINALYN NAESA IMPERIAL;
That I am the mother of JANINE IMPERIAL MIRABEL, as shown in his
Certificate of Live Birth issued by the Office of the Civil Registrar General with
Registry No. 2011-3144, my name appeared in his Certificate of Live Birth as
GENALYN NAESA IMPERIAL instead of GINALYN NAESA IMPERIAL;

That I attest to the fact that GENALYN NAESA IMPERIAL and


GINALYN NAESA IMPERIAL refer to one and the same person;
And that I am executing this Affidavit to attest to the truth of the
foregoing statements and for legal purpose/s it may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


26TH day of February, 2019 at Lucena City.

GINALYN NAESA IMPERIAL


Affiant
4PS ID 045624003-2005-00010
SUBSCRIBED AND SWORN to before me this 26 TH day of February
2019 at Lucena City.

CHRISTINE OLIVA T. MALIWANAG- PANLASIGUI


Public Attorney II
(Pursuant to R.A. 9406)
Doc. No. ______; Page No. ______;
Book No. ______; Series of 2019

REPUBLIC OF THE PHILIPPINES)


CITY OF LUCENA ) S.C.
x- - - - - - - - - - - - - - - - - - - - - - - - x

AFFIDAVIT OF DISCREPANCY

I, GINALYN NAESA IMPERIAL, of legal age, single mother, Filipino


and a resident of Brgy. 10, Lucena City after having been duly sworn to in
accordance with law, hereby depose and say:
That I am GINALYN NAESA IMPERIAL, born on NOVEMBER 22,
1988 in Lucena City, as shown in my Certificate of Live Birth, issued by the
Philippine Statistics Authority with Local Civil Registry No. 88-5793;
That in my Yellow Card I.D, issued by the City of Lucena with ID No.
88-B10-4508P, my name appeared as GENALYN NAESA IMPERIAL instead
of GINALYN NAESA IMPERIAL;
That in my Voter’s I.D, issued by the Commission on Election, my
name appeared as GENALYN NAESA IMPERIAL instead of GINALYN
NAESA IMPERIAL;
That in my PhilHealth Data Member Record, issued by the Philippine
Health Insurance Corporation, my name appeared as GENALYN NAESA
IMPERIAL instead of GINALYN NAESA IMPERIAL;
That I am the mother of JONEL IMPERIAL MIRABEL, as shown in his
Certificate of Live Birth issued by the Office of the Civil Registrar General with
Registry No. 2011-3144, my name appeared in his Certificate of Live Birth as
GENALYN NAESA IMPERIAL instead of GINALYN NAESA IMPERIAL;

That I attest to the fact that GENALYN NAESA IMPERIAL and


GINALYN NAESA IMPERIAL refer to one and the same person;
And that I am executing this Affidavit to attest to the truth of the
foregoing statements and for legal purpose/s it may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


26TH day of February, 2019 at Lucena City.

GINALYN NAESA IMPERIAL


Affiant
4PS ID 045624003-2005-00010
SUBSCRIBED AND SWORN to before me this 26 TH day of February
2019 at Lucena City.

CHRISTINE OLIVA T. MALIWANAG- PANLASIGUI


Public Attorney II
(Pursuant to R.A. 9406)
Doc. No. ______; Page No. ______;
Book No. ______; Series of 2019

REPUBLIC OF THE PHILIPPINES)


CITY OF LUCENA ) S.C.
x- - - - - - - - - - - - - - - - - - - - - - - - x

AFFIDAVIT OF DISCREPANCY

I, GINALYN NAESA IMPERIAL, of legal age, single mother, Filipino


and a resident of Brgy. 10, Lucena City after having been duly sworn to in
accordance with law, hereby depose and say:
That I am GINALYN NAESA IMPERIAL, born on NOVEMBER 22,
1988 in Lucena City, as shown in my Certificate of Live Birth, issued by the
Philippine Statistics Authority with Local Civil Registry No. 88-5793;
That in my Yellow Card I.D, issued by the City of Lucena with ID No.
88-B10-4508P, my name appeared as GENALYN NAESA IMPERIAL instead
of GINALYN NAESA IMPERIAL;
That in my Voter’s I.D, issued by the Commission on Election, my
name appeared as GENALYN NAESA IMPERIAL instead of GINALYN
NAESA IMPERIAL;
That in my PhilHealth Data Member Record, issued by the Philippine
Health Insurance Corporation, my name appeared as GENALYN NAESA
IMPERIAL instead of GINALYN NAESA IMPERIAL;
That I am the mother of JOHN PAUL IMPERIAL MIRABEL, as shown
in his Certificate of Live Birth issued by the Office of the Civil Registrar
General with Registry No. 2011-3144, my name appeared in his Certificate of
Live Birth as GENALYN NAESA IMPERIAL instead of GINALYN NAESA
IMPERIAL;

That I attest to the fact that GENALYN NAESA IMPERIAL and


GINALYN NAESA IMPERIAL refer to one and the same person;
And that I am executing this Affidavit to attest to the truth of the
foregoing statements and for legal purpose/s it may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


TH
26 day of February, 2019 at Lucena City.

GINALYN NAESA IMPERIAL


Affiant
4PS ID 045624003-2005-00010
SUBSCRIBED AND SWORN to before me this 26 TH day of February
2019 at Lucena City.

CHRISTINE OLIVA T. MALIWANAG- PANLASIGUI


Public Attorney II
(Pursuant to R.A. 9406)
Doc. No. ______; Page No. ______;
Book No. ______; Series of 2019
BN

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