REPUBLIC OF THE PHILIPPINES)

Makati City ) S.S.

x-----------------------x

AFFIDAVIT

I, _______________, Filipino, of legal age, and a resident of

_________________________, having been duly sworn in accordance with law, hereby

depose and state:

1. That I have personally known the person of __________________ for a long

period of time;

2. That I know for a fact that the person by the name of "RANDY IMPERIAL"

appearing in some documents and records or specifically in his Certificate of

Registration No. 46543252 issued on July 11, 2000 and the name "NILO

RANDY BUENAVENTE IMPERIAL" as appearing in the record of Social

Security Systems (SSS) with SSS I.D. No. 33-2788872-4 and COMELEC Voter’

I.D. No. 7603-0261A-I1672NBI10001-8, refer to one and the same person

and that his true and correct name is NILO RANDY BUENAVENTE

IMPERIAL;

3. As such, I execute this Affidavit to certify or attest to the truth of the

foregoing facts and for whatever legal purpose that this Affidavit may serve.

IN WITNESS WHEREOF, I have set my hands this _____________, at

_____________, Philippines.

AFFIANT

SUBSCRIBED AND SWORN to before me, this _____________, by the Affiant who
is personally known to me.

NOTARY PUBLIC

Doc. No. ______;

Page No. ______;
Book No.______;
Series of 20____.