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REPUBLIC OF THE PHILIPPINES)

)S.S.

AFFIDAVIT OF CORRECTION

I, _________________________ , of legal age, married, Filipino


citizen and a resident of ______________________________ after being duly
sworn to in accordance with law, hereby depose and state that:

1. I am a member-distributor of _____________________________;

2. As such, I applied for an Identification Card;

3. My upline filled up the application form for my ID and put the name
_________________________ in the form;

4. My real name is _______________________ as shown in my Philippine


Passport and Police Clearance, copy of which is attached to this Affidavit;

5. I am executing this Affidavit to request the ______________ to have


my name amended in AIM ID Application form from ____________________ to
_________________________.

5. That I am executing this affidavit to attest to the truth of the foregoing


facts.

AFFIANT FURTHER SAYETH NAUGHT.

____________________________
Affiant

SUBSCRIBED AND SWORN to before me this day of 2016 at


City of Quezon, affiant exhibiting to me her Passport No___________________
issued on ________________ and will expire on _____________.

Doc No. ____;


Page No._____;
Book No._____ ;
Series of 2019.

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