1. Ma. Remedios L. Bello filed an affidavit to clarify a discrepancy between her name on her birth certificate ("Maria Remedios L. Bello") and the name she has used ("Ma. Remedios L. Bello") in her scholastic records and identification cards.
2. She states that both names refer to the same person and that she is executing the affidavit to support her application for a passport.
3. She affirms under oath that the statements in the affidavit are true.
1. Ma. Remedios L. Bello filed an affidavit to clarify a discrepancy between her name on her birth certificate ("Maria Remedios L. Bello") and the name she has used ("Ma. Remedios L. Bello") in her scholastic records and identification cards.
2. She states that both names refer to the same person and that she is executing the affidavit to support her application for a passport.
3. She affirms under oath that the statements in the affidavit are true.
1. Ma. Remedios L. Bello filed an affidavit to clarify a discrepancy between her name on her birth certificate ("Maria Remedios L. Bello") and the name she has used ("Ma. Remedios L. Bello") in her scholastic records and identification cards.
2. She states that both names refer to the same person and that she is executing the affidavit to support her application for a passport.
3. She affirms under oath that the statements in the affidavit are true.
1. Ma. Remedios L. Bello filed an affidavit to clarify a discrepancy between her name on her birth certificate ("Maria Remedios L. Bello") and the name she has used ("Ma. Remedios L. Bello") in her scholastic records and identification cards.
2. She states that both names refer to the same person and that she is executing the affidavit to support her application for a passport.
3. She affirms under oath that the statements in the affidavit are true.
Download as DOC, PDF, TXT or read online from Scribd
Download as doc, pdf, or txt
You are on page 1/ 1
REPUBLIC OF THE PHILIPPINES}
DONE: IN THE CITY OF BAGUIO } S.S.
X ======================= X
AFFIDAVIT OF DISCREPANCY
I, MA. REMEDIOS L. BELLO, of legal age, single, Filipino citizen, with residence and postal address at Simsim Compound, Maria Basa, Baguio City, Philippines, after having been sworn to in accordance with law hereby depose and state that:
1. I am the child of Spouses RAMON BELLO and ROSA BELLO;
2. When I secured a copy of my Certificate of Live Birth from the National Census and Statistics Office, Baguio City, I discovered that my name as indicated therein is MARIA REMEDIOS L. BELLO;
3. Since childhood, I had been using the name MA. REMEDIOS L. BELLO, particularly in my scholastic records and in all my identification cards;
4. The names “MA. REMEDIOS L. BELLO” and “MARIA REMEDIOS L. BELLO” refers to one and the same person;
5. I am executing this affidavit to attest to the truth of the foregoing facts and to clarify the discrepancy between the name in my Certificate of Live Birth and in my identification cards in support of my application for the issuance of a passport; and
6. I am further executing this affidavit for all legal intents it may serve.
IN WITNESS WHEREOF, I have hereunto set my hands this 8 th day of February 2011, in Baguio City, Philippines.
MA. REMEDIOS L. BELLO
Affiant Driver’s License No. A01-01-452631 Valid until August 30, 2013
SUBSCRIBED AND SWORN to before me in the City of Baguio this 8 th day of February 2011, by Ma. Remedios L. Bello, who has satisfactorily proven her identity to me through her valid Driver’s License No. A01-01-452631 until August 30, 2013, that she is the same person who personally signed the foregoing affidavit before me and acknowledged that she executed the same.
LIYA ORTEGA-RODRIGUEZ Notary Public Until December 31, 2012 Doc. No. __8___; PTR No. 050183/Baguio City/01-11- 11 Page No. __2__; Roll of Atty. No. 8121983 Book No. I ; IBP Lifetime Membership No. 9031984 Series of 2011. Baguio- Benguet
