Vous êtes sur la page 1sur 1

AFFIDAVIT OF DISCREPANCY

I, GENALYN B. MARTINEZ, of legal age, single, citizen of the Republic of the


Philippines and presently residing at Sto. Nio, Apurawan, Aborlan, Palawan,
after having been duly sworn to in accordance with law, do hereby depose
and say:

1. That my name is MARILYN BONIFACIO MARTINEZ, as stated and registered


in my birth certificate issued by the National Statistics Office, Republic of
the Philippines;

2. That during my childhood and adult years, I have been accustomed to


the use of the name GENALYN BONIFACIO MARTINEZ;

3. That I assumed the name GENALYN B. MARTINEZ, when I signed official


and other kinds of documents;

4. That the names MARILYN B. MARTINEZ and GENALYN B. MARTINEZ refer to


one and the same person; and

5. That I am executing this Affidavit to clear any discrepancy which may


arise from official documents bearing either name MARILYN or
GENALYN;

IN WITNESS WHEREOF, I have hereunto set my hand this 24th day of April,
2015 at 11:33 am, Puerto Princesa City, Palawan.

_______________________
GENALYN B. MARTINEZ
Affiant

SUBSCRIBED AND SWORN to before me this 204th day of April, 2015 in


Puerto Princesa City, with affiant exhibiting her Certificate of Live Birth issued on
June 16, 2014 at Puerto Princesa City, Palawan.

Doc No. ________;

Page No. _______ ;

Book No. _______;

Series of ________.

ATTY. GIL A. ACOSTA


Notary Public

Vous aimerez peut-être aussi