AFFIDAVIT OF DENIAL

          I, MEDIO Y. SUERTE, of legal age, Filipino, married, and a

resident of Cabangcalan, Mandaue City, Cebu, Philippines, after being
sworn to in accordance with law, depose and state - THAT:

          1. I am applying for a Philippine Passport and one of the

requirements is to submit a clearance from the National Bureau of
Investigation (NBI);

          2. To comply with this requirement I submitted my application

for NBI clearance;

          3. The NBI Office in Cebu City has informed me that they could
not issue me a clearance because a name similar to my name appeared
in the NBI files involving in Multiple Rape, docketed as Criminal Cases
No. 1234 & 5678 pending before Branch 69 of the Regional Trial Court
of Quezon City, against said person bearing a name similar to mine; 

          4. I am executing this affidavit to attest to the foregoing facts

and to deny categorically and specifically under oath that I am not the
same person mentioned in the docket/files of NBI with the said
derogatory/civil/criminal record/s, nor am I in any way involved in any
case proceeding as either plaintiff/complainant or defendant/accused in
the Philippines and abroad;

          5. I was born on July 28, 1990 in Mandaue City, and I have
established my permanent residence in Mandaue City;

          In view of the foregoing, I am requesting the NBI Office to issue

the appropriate clearance in my favor for compliance with the certain
requirements for the issuance of a Philippine Passport;

          IN WITNESS WHEREOF, I hereby affixed my signature this 16th

day of November 2015 in Mandaue City, Cebu, Philippines.

                                                                                             MEDIO
Y. SUERTE
                                                                                             Affiant

                        SUBSCRIBED AND SWORN TO before me this

_____________ in ______________, Philippines, affiant exhibiting to
me his competent evidence of identity by way of ______________
issued at _____________ on ______________.
     
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2015.