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REPUBLIC OF THE PHILIPPINES)

PROVINCE OF C A V I T E ) S.S.
TRECE MARTIRES CITY )

AFFIDAVIT OF DISCREPANCY

I, MARLYN G. CORPUZ, of Legal age, married, Filipino Citizen ,and a


resident of Blk 48 Lot 17 Phase 1-A, Southville Brgy. Inocencio Trece Martires City,
Cavite, after having been duly sworn to in accordance with law do hereby depose and
state:

That when I got the copy of my Live Birth Certificate from National Statistic
Office (NSO) my name entered and appeared as MERLYN S. GAOIRAN.

That I used MARLYN S. GAOIRAN in all my legal documents like Voter’s ID,
Marriage Contract and other legal ID’s.

That the name MARLYN S. GAOIRAN which I used in all my documents and
MERLYN S. GAOIRAN appeared in my Birth Certificate from National Statistic Office
(NSO).

That the name MARLYN S. GAOIRAN and MERLYN S. GAOIRAN refers to


one and the same person.

That I am requesting the concerned authorities to amend /change my name from


MARLYN S. GAOIRAN to MERLYN S. GAOIRAN;

That I am executing this statement to attest to all the above facts, and to whatever
legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this _________ day of


__________________ 2018 at Trece Martires City ,

MARLYN G. CORPUZ
Affiant

SUBSCRIBED AND SWORN TO BEFORE ME this ____________ day of


________________________ 2018 at Trece Martires City, Cavite.

DOC. NO.
PAGE NO.
BOOK NO.
SERIES OF 2018

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