You are on page 1of 2

REPUBLIC OF THE PHILIPPINES )

MANILA CITY ) S.S.


AFFIDAVIT OF ONE AND THE SAME PERSON
I, MA. ISABEL C. LOPEZ, of legal age, Filipino, single, and a
resident of 157 España Boulevard, Sampaloc, Manila City,
after having been sworn in accordance with law, hereby deposes and states
the following:
1. I was born to spouses Mario Lopez and Sabel Lopez on 11 November
2003 in Harapin Ang Bukas, Mandaluyong City and was named in my
Certificate of Live Birth as Ma. Isabel C. Lopez;

2. Since grade school, I have consistently used in all my transactions,


personal or otherwise, the name MARIA ISABEL C. LOPEZ;

3. When I applied for a Philippine passport, I used the name Maria Isabel
C. Lopez;

4. In my Certificate of Live Birth, my name appears to be Ma. Isabel C.


Lopez;

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


statement to prove that Ma. Isabel C. Lopez and Maria Isabel C. Lopez
are one and the same person and for whatever legal purpose it may
serve.

IN WITNESS WHEREOF, I hereby set my hand this 19th day of May


2022 at Manila City.

____________________
MARIA ISABEL C. LOPEZ
Affiant
SUBSCRIBED AND SWORN to me before me this 19th day of May
2022 at Manila City, affiant exhibiting to me her Unified ID CRN: 0011-
5707511-5 issued on 7 May 2017 and which expires on 7 May 2027, as
competent evidence of her identity.

Witness my hand and notarial seal.

ATTY. REYZEN PAUL UNITE MENDIOLA


Notary Public – Manila City
Notarial Commission No. 11570 / valid until 02-29-24
IBP Member No. 11570 / 02-29-20 / PPLM
Page 1 of 2
PTR Exempt / SC Bar Matter No. 1157
Roll of Attorneys No. 11570
MCLE Compliance No. VI-0011570 / valid until 02-29-24

Doc. No. 1157


Page No. 11
Book No. 57
Series of 2022

Page 2 of 2

You might also like