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Republic of the Philippines )

Quezon City, Metro Manila) S.S.

AFFIDAVIT OF DISCREPANCY

I, RHAYZIANE MAE B. RIVERA , of legal, Filipino and resident of 1 Caragay


St., Bgy. Damayan , SFDM, Quezon City, after first being sworn to in accordance with
law, depose and say:

1. That my given name in my Certificate of Live Birth is RHAYZIANE MAE


BALON RIVERA and have used the same in all my records, dealing and
activities ;

2. That however, my name appears from the master payroll of the


CityTreasurer’s Office of Quezon City as RHAZIANE MAE ( letter Y was
omitted) while it should be spelled as RHAYZIANE ;

3. That the discrepancy was purely human error and excusable negligence
committed by the clerk who encoded the same ;

4. That I am executing this affidavit to attest to the veracity of the foregoing


discrepancy in my given name above-stated in order t request the authorities
concerned to rectify the same ;

IN WITNESS WHEREOF, I have set my hand this ___ day of January 2022 in
Quezon City, Metro Manila.

RHAYZIANE MAE B. RIVERA


Affiant

SUBSCRIBED AND SWORN to before me this ___ day of January 2022 in


Quezon City, Metro Manila affiant with competent proof of identity bearing her signature
and photograph.

Doc. No. _____


Page No. _____
Book No. _____
Series of 2022.
Republic of the Philippines )
Quezon City, Metro Manila) S.S.

AFFIDAVIT OF DISCREPANCY

I, ASHKIA MICKAEL G. EBRO , of legal, Filipino and resident of 14 Basinilio


St., Bgy. Damayan , SFDM, Quezon City, after first being sworn to in accordance with
law, depose and say:

5. That my given name in my Certificate of Live Birth is ASHKIA MICKAEL


GONZALES EBRO and have used the same in all my records, dealing and
activities ;

6. That however, my name appears from the master payroll of the


CityTreasurer’s Office of Quezon City as ASHKIA MICHAEL ( letter K was
omitted) while it should be spelled as MICKAEL ;

7. That the discrepancy was purely human error and excusable negligence
committed by the clerk who encoded the same ;

8. That I am executing this affidavit to attest to the veracity of the foregoing


discrepancy in my given name above-stated in order t request the authorities
concerned to rectify the same ;

IN WITNESS WHEREOF, I have set my hand this ___ day of January 2022 in
Quezon City, Metro Manila.

ASHKIA MICKAEL G. EBRO


Affiant

SUBSCRIBED AND SWORN to before me this ___ day of January 2022 in


Quezon City, Metro Manila affiant with competent proof of identity bearing her signature
and photograph.

Doc. No. _____


Page No. _____
Book No. _____
Series of 2022.

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