REPUBLIC OF THE PHILIPPINES)

City of Dipolog) SS.

AFFIDAVIT OF DISCREPANCY
IN NAME

I, ROBERT NIKKO C. ELCAMEL , of legal age, single with address at

Crisostomo B. Ibarra St., Dawo, Dapitan City under oath, state:

1. THAT my name is ROBERT NIKKO ELCAMEL as stated and registered in

my birth certificate issued by office of the Civil Registry of Malolos, Bulacan. A
copy of my birth certificate is hereto attached as ANNEX “A”;

2. THAT the name ROBERT NIKKO C. ELCAMEL or ROBERT NIKKO

CALALANG ELCAMEL also appears in my school records and identification
cards which was issued based on the data of my mother appearing in my birth
certificate. A copy of the page of Certificate of Enrollment and Identification
Cards both from Jose Rizal Memorial State University Main Campus where my
name and picture appears is hereto attached as ANNEX “B”;

3. That since childhood, my friends and acquaintances call me ROBERT

NIKKO C. ELCAMEL or ROBERT NIKKO CALALANG ELCAMEL and thus
since then I have been accustomed to using the name ROBERT NIKKO C.
ELCAMEL or ROBERT NIKKO CALALANG ELCAMEL in my personal records,
transactions and communications;

4. THAT the name ROBERT NIKKO C. ELCAMEL or ROBERT NIKKO

CALALANG ELCAMEL and ROBERT NIKKO ELCAMEL refer to one and the
same person, the herein Affiant;

5. THAT I am executing this Affidavit to attest the truth of the foregoing facts
and to use the same for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I hereunto affix my signature this 27th day of

November 2017 at Dipolog City, Philippines.

ROBERT NIKKO C. ELCAMEL

Affiant

SUBSCRIBED AND SWORN to before me this 27th day of November 2017

at Dipolog City affiant exhibiting to me his Police Clearance with picture with
Control No. 11-219-2017 issued on November 21, 2017.

Doc. No.:
Page No.:
Book No.:
Series of 2017

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