AFFIDAVIT OF DISCREPANCY I, _________________________________________________, of legal age,

single/married/widow, citizen of ______________________ and presently residing at

______________________________________________________, after having been duly sworn to in
accordance with law, do hereby depose and say: That my name is
__________________________________, as stated and registered in my birth certificate issued by the
local civil registrar in country of my birth, Republic of the Philippines; That during my childhood and
adult years, I have been accustomed to the use of the name
____________________________________; That I assumed the name
_____________________________, when I signed official documents and exercised my professional
work in Canada; That the names ___________________ and_____________________ refer to one and
the same person; and That I am executing this Affidavit to clear any discrepancy which may arise from
official documents bearing either name “___________________” or “____________________ “; IN
WITNESS WHEREOF, I have hereunto set my hand this _________________ at
__________________________, Canada. _______________________ (Affiant) Signed in the presence
of: ___________________ ____________________ at the Philippine Consulate General, Toronto,
Ontario, Canada