REPUBLIC OF THE PHILIPPINES)

_________________________ ) S.S

AFFIDAVIT OF DISCREPANCY

I, CHRISTOPHER F. CAOILE, of legal age, Filipino, married, and a resident of 118

Sampaguita St. San Roque II, Bagong Pag-Asa, Quezon City, Philippines, having been duly
sworn in accordance with law, hereby depose and state:

1. That in my Certificate of Live Birth as recorded in the Office of the Civil Registrar of

Natividad, Pangasinan, Philippines, and my middle name was written as initial "F"
instead of my true and correct middle name of "FLORENDO".

2. That my true middle name is "FLORENDO"; as appearing in the same Certificate of

Live as the maiden name of my mother, ESTEFANIA FLORENDO.

3. That in all pertinent documents which I had used, to include that of my government valid
Identification Cards such as SSS UMID, Philhealth and BIR TIN, I used my true and
correct middle name of "FLORENDO".

4. That I am executing this Affidavit of Discrepancy to attest to the truth of the foregoing

facts and to explain the discrepancy in my Certificates of Live Birth, as regards my true
middle name.

IN WITNESS WHEREOF, we have hereunto set my hands this _____________, at

_____________, Philippines.

CHRISTOPHER FLORENDO CAOILE

Affiant

SUBSCRIBED AND SWORN to before me this __ day of ________________ 20__ in

__________________________. Affiant’s exhibited to me his Unified Multi-Purpose ID with
ID No. CRN-0113-0721477-6 as his valid proof of identification.

NOTARY PUBLIC
Doc No. ;
Page No. ;
Book No. ;
Series of 2022