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Republic of the Philippines )

Province of Leyte
) SS
City of Tacloban
)

AFFIDAVIT OF UNDERTAKING
I, RONETH S. DELFIN, of legal age, Filipino, single, and a resident of
Brgy. Buntay, Dulag, Leyte, after having been first sworn according to law, hereby
depose and state: THAT--1. My Birth Certificate shows my full name as RONETH SERRNO
DELFIN, born 3 July 1987 at Dulag, Leyte, to parents Alfredo U. Delfin and
Ramona Serrano Delfin.
2. Due to inadvertence and innocuous clerical error, my birth certificate
states the maiden name of my mother (or my middle name) as SERRNO instead
of SERRANO.
3. I shall undertake to have the discrepancy of the maiden name of my
mother (or my middle name) corrected by the Civil Registrars Office of Dulag,
Leyte, or by the court if so required, as early as possible.
4. I shall further undertake that I will submit a certified true copy of the
corrected certificate of live birth on the discrepant entry of my middle
name/maiden name of my mother, if and when I will apply for a renewal of my
passport.
5. Meantime, I am willing to follow the registered middle name SERRNO
for my passport application, pending its correction with the Local Civil Registrars
Office of Dulag, Leyte, or by the court if so required.
AFFIANT FURTHER SAYETH NAUGHT.
IN WITNESS WHEREOF, I have hereunto set my hand this 23 April 2007
at Tacloban City.

RONETH S. DELFIN
Affiant
SUBSCRIBED AND SWORN to before me this 23 APRIL 2007 at
Tacloban City, affiant exhibiting to me her Leyte Normal University ID No.
*0401081* for SY 2007-2008.
Doc. No. 416
Page No. 84
Book No. 52
SERIES OF 2007

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