REPUBLIC OF THE PHILIPPINES )

PROVINCE OF BATANGAS ) S.c.

CITY OF TANAUAN )

AFFIDAVIT OF DISCREPANCY

I, RUSEL C. CABATE, 27 years old, single, and presently residing

at Brgy. San Fernando, Malvar, Batangas, after having been duly sworn
to in accordance with law do hereby depose and state THAT:

1. I am a bonafide member of Social Security System (SSS) with

Membership No. 35-0487907-7;

2. I am presently processing my Maternity Benefits with SSS

however, it appears on record with the SSS that I have no registered
middle initial or name in their records;

3. Hence. I as informed to executed a Sworn Affidavit attesting

to the truthfulness of the fact that I am the same person registered with
the SSS with SSS No. 35-0487907-7. Attaching herewith a copy of my
Birth Certificate issued by the PSA;

4. In view of the foregoing, I am executing this affidavit to attest

to the truth of the foregoing fact whatever legal intents and purposes this
affidavit may serve.

IN WITNESS WHEREOF, I hereunto affixed my signature this 17 th

day of March 2023 at Tanauan City, Batangas.

RUSEL C. CABATE
Affiant

SUBSCRIBED AND SWORN to before me this 17 th day of March

2023, at Tanauan City, Batangas, Affiant exhibiting to me her competent
identification card bearing her picture and signature to prove her
identity.