REPUBLIC OF THE PHILIPPINES )

CITY OF SANTA ROSA LAGUNA )S.S.

AFFIDAVIT OF DISCREPANCY

I, JOHN MEYNARD RIOS JAVIER, of legal age, Filipino and a

resident of Brgy. Don Jose, City of Santa Rosa, Laguna, after having
been duly sworn to in accordance with law, do hereby depose and
state that:

1. I was born on September 13, 1996, to parents ROSALIE

VERONIO RIOS and MENARDO GRENCIO JAVIER;

2. However, my Certificate of Live Birth erroneously reflects my

mother’s middle name as BERONIO instead of VERONIO;

3. My mother’s correct middle name is VERONIO instead of

BERONIO, as consistent with my mother’s birth certificate
and my siblings’ birth records;

4. Thus, the middle name BERONIO pertaining to my mother is

a mere discrepancy in my birth certificate that should have
been corrected to VERONIO;

5. I am executing this affidavit to attest to the truth and

correctness of the foregoing statements and for whatever
legal intent this may serve;

IN WITNESS WHEREOF, I have hereunto set our hand this 9th

day of March 2021 in the City of Santa Rosa, Laguna.

JOHN MEYNARD RIOS JAVIER

Affiant
SUBSCRIBED AND SWORN TO before me this 9th day of
March 2021 in the City of Santa Rosa, Laguna, affiant personally
came and appeared, with Philhealth No. 01-052068304-1.

ATTY. BLESSIE ROSE L. CARPENA

Notary Public for City of Santa Rosa, Laguna
A.N.C. No. 0032-SRCL; Until December 31, 2022
IBP No. 121356; 01/01/21; Pasig City
PTR No. 4135812; 01/04/21; Santa Rosa, Laguna
MCLE Comp No. VI-00211253;
Doc No. ____;            03/28/19; Pasig City
Page No. ___;            2F Sta. Rosa Arcade, F. Gomez
Book No. ___;            St, Brgy. Kanluran
Series of 2021.   City of Santa Rosa, Laguna