AFFIDAVIT of Discrepency Surname

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REPUBLIC OF THE PHILIPPINES ) CITY OF BAGUIO ) S.S.

AFFIDAVIT OF DISCREPANCY
I, PAMELA MALI, of legal age, Filipino, married and a resident of No. 44, Honeymoon Road, Baguio City, Philippines, having been duly sworn in accordance with law, hereby depose and state: 1. That on December, 2012, I was issued a Philippine Passport with passport number PP12345 in which my true surname MALI was stated; 2. That before the expiration of the aforementioned passport on April 9, 2013, I had applied with Philippine Embassy in Manila for the issuance of a new passport and on April 9, 2013, I was issued a new Philippine passport with Passport No. PP-56789; 3. However, in the said new passport my surname had been erroneously misspelled as MALE; 4. That I execute this Affidavit of Discrepancy to attest to the truth of the foregoing facts and to explain the discrepancy, from MALI to MALE, of my surname in my Philippine Passport. IN WITNESS WHEREOF, I have hereunto set my hand this 19th day of April 2013 in the City of Baguio, Philippines.

PAMELA MALI Affiant

SUBSCRIBED AND SWORN TO before me in the City of Baguio on this 19 th day of April 2013, affiant exhibiting before me his Government Issued ID No. 08061989 issued on August 6, 2012 at Baguio City.

Doc. No. 1 Page No. 1 Book No. 1 Series of 2013.

Until December 31, 2014 182 Session Road, Baguio City PTR No. 123/Baguio City/12-31-13 Roll of Atty. No. 45678 IBP Lifetime Membership No. 910 MCLE Compliance No 9876

DINO T. PUBLIKO Notary Public for Baguio City

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