You are on page 1of 1

Republic of the Philippines)

Province of Quezon ) S.S.


Municipality of Catanauan )
x-------------------x

AFFIDAVIT OF DISCREPANCY

I, MARIQUETA REA MALABANA, of legal age, single, Filipino and a resident of


Barangay Tuhian, Catanauan, Quezon, Philippines, after having been duly sworn to in
accordance with law hereby depose and state that:

1. In my Certificate of Live Birth issued by the Philippine Statistics Authority, what


was stated as the maiden name of my mother is her married name: Marietta Rea
Malabana instead of her true maiden name which is: Marietta Reyes Rea as appearing in
Certificate of Live Birth;

2. As a result, there is a discrepancy in the entry of the details in my Certificate of


Live Birth, particularly in the entry of the details of the name of my mother and in the
name of my mother in her Certificate of Live Birth;

3. The name MARIETTA REA MALABANA as entered in my Certificate of Live Birth


and MARIETTA REYES REA as appearing in the Certificate of Live Birth of my mother
refers to one and the same person, and that is my mother; and

4. I am executing this Affidavit in good faith to attest to the truth of the foregoing
facts and for all legal intents and purpose this may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this May 4, 2023


at Catanauan, Quezon, Philippines.

MARIQUETA REA MALABANA


Affiant

SUBSCRIBED AND SWORN to before me this May 4, 2023, at Catanauan,


Quezon, Philippines, by the affiant, who presented to me her identification card issued
by the COMELEC with VIN: 5610-0112A-B793MRM20000 as her competent proof of
identity.

Doc. No. 714;


Page No. 14;
Book No. I;
Series of 2023.

You might also like