AFFIDAVIT OF TWO DISINTERESTED PERSONS I, MARIA ELENA VALDERRAMA BONGALING, of legal age, married and presently residing at Block

2 Lot 15 Don Gregorio Hts II, Dasmarinas, Cavite, after being duly sworn to in accordance with law, depose and say: I have been known by the name: MARIA ELENA VALDERRAMA BOONGALING. That, I know for a fact that the name MA. ELENA VALDERRAMA BOONGALING, was erroneously and inadvertently entered in my Philippine Health Insurance Corporation with ID No 19-050602000-3; That I have been using the name MARIA ELENA VALDERRAMA BOONGALING in all of my documents and transactions; That the name of MARIA ELENA VALDERRAMA BOONGALING, as per: a) SOCIAL SECURITY NUMBER : 33-4479625-5 b) DRIVERS LICENCE NUMBER : N03-08-02328-4 refers to one and the same person as MA. ELENA VALDERRAMA BOONGALING and that my true and correct name is MARIA ELENA VALDERRAMA BOONGALING. That I execute this affidavit to establish the correct and true name of MARIA ELENA VALDERRAMA BOONGALING , whose first name is full MARIA and not MA., and to attest its truthfulness and veracity for record purposes and for any legal purpose this may serve. IN WITNESS WHEREOF, I have hereunto set my hands this 24th day of October 2011 at Dasmarinas, Cavite.

__________________ Affiant

SUBCRIBED AND SWORN to before me, this _____ day of __________, at ______________________, affiant exhibiting to me his/her CTC No. _____________, issued on __________________ at _________________________.

NOTARY PUBLIC Doc. No. __________; Page No.__________; Book No.__________: Series of __________.