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REPUBLIC OF THE PHILIPPINES)

Davao City ) SS.

AFFIDAVIT OF DISCREPANCY IN NAME

I, Reinier Decierdo, of legal age, single, and with address at Dona Vicente Village, Bajada, Davao
City, under oath, state:

1. THAT my name is Reinier Decierdo as stated and registered in my birth certificate


issued by office of the Civil Registry of Davao City. A copy of my birth certificate is hereto attached
as ANNEX “A”;

2. THAT since childhood, my friends and acquaintances call me Rain and thus since then I
have been accustomed to using the name Rain Deciedo in my personal records, transactions and
communications;

3. THAT the name Reinier Decierdo and Rain Decierdo refer to one and the same person,
the herein Affiant;

4. 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.

IN WITNESS WHEREOF, I hereunto affix my signature this 22nd day of January 2012 at Davao
City.

REINIER DECIERDO
Affiant

SUBSCRIBED AND SWORN to before me this 22nd day of January 2012 at Davao City, Affiant
exhibiting to me his TIN # 259-159-192-000 issued at Davao City on January 31, 2008.

Atty. Forcrissa Gogo


Notary Public until December 2012
Roll No. 9195
Doc No. _________ IBP No. 92175/12.21.11/Davao City
Page No. ________ PTR No. 87541/12.21.11/Davao City
Book No. ________ TIN- 245-187-254/10.4.11/Davao City
Series of 2012 MCLE No. III-0002451/10.12.11

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