REPUBLIC OF THE PHILIPPINES)

_______________) SS.

AFFIDAVIT OF DISCREPANCY
IN NAME

I, MARY JOYCE LLAMADO ARAZO, of legal age, single, and with address at
____________________, under oath, state:

1. THAT my name is MARY JOYCE LLMADO ARAZO as stated and

registered in my birth certificate issued by office of the _______________
of ______________________. A copy of my birth certificate is hereto
attached as ANNEX “A”;

2. THAT the name MARY JOYCE LLAMADO ARAZO also appears in my

________ which was issued based on the data appearing in my birth
certificate. A copy of the ID where my name and picture appears is hereto
attached as ANNEX “B”;

3. THAT LLAMADO is my middle name as appear in my birth certificate.

4. THAT during my SSS membership online enrollment I overlooked that no

middle name was written.

5. THAT the name MARY JOYCE ARAZO and MARY JOYCE LLMADO
ARAZO refer to one and the same person, the herein Affiant;

6. THAT I am executing this Affidavit to attest to the truth of the foregoing

facts and to use the same for whatever legal purpose it may serve.

7.

IN WITNESS WHEREOF, I hereunto affix my signature this _________________

at Makati City.

________________________
Affiant
SUBSCRIBED AND SWORN to before me this _______________ at Makati City,
Affiant exhibiting to me his Passport bearing No.
______________________________ issued at ______________ on
_________________.

Doc No. ________;

Page No. _______ ;

Book No. _______;

Series of ________.