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I, CRIS ANGELTON L. BUYAGAO, 22 years old, single, Filipino and
a resident of Barangay Nabbuan, Santiago City, after having been duly
sworn to in accordance with law, do hereby deposes and states:

1. That I am a senior student of Northeastern College, Santiago City taking
up Bachelor of Science in Business Administration Major in Marketing;

2. That I am about to graduate this School Year 2016-2017;

3. That I recently found out that in my Certificate of Live Birth my
gender/sex was erroneously entered as MALE instead of FEMALE;

4. That I am attesting into the truth of the fact that I am female since birth;

5. That I am intending to file a petition in court to correct the erroneous
entry of sex/gender in my Certificate of Live Birth this April, 2017 and
because of this, I hereby undertake to present the corrected Certificate of
Live Birth as soon as possible;

IN WITNESS WHEREOF, I hereby set my hand this 23 rd day of
March, 2017 at Santiago City.

I further certify that I have personally examined the affiant and I am convinced that the same is her own free and voluntarily act and deed. to before me this 23rd day of March. CRIS ANGELTON L. ____ . BUYAGAO Affiant N. Book No. Series of 2017 . 2017 at Santiago City. ____. Page No. together with her identifying evidence required by these rules. ____ . who signed the said instrument in my presence. Doc. No. School I.C. 12000039 SUBSCRIBED AND SWORN.D.