REPUBLIC OF THE PHILIPPINES)

CALOOCAN CITY ) S.S

AFFIDAVIT OF ONE AND THE SAME PERSON

I, , of legal age, Filipino, married, and a resident

of No. ________________________, Quezon City, after having been duly
sworn to in accordance with law, hereby depose and state that:

1. I have been issued a _______________ with No. NO2-89-

0993333 using my name _______________________,
copy of which is herein attached as Annex “A”;

2. I was likewise issued a Philhealth ID with number ______

using again my name ____________ and another Pag-ibig
ID No. _________ with the name ____________, copy of
which is herein attached as Annex “A”;

3. In __________, I secured a copy of my certificate of live

birth with registry number 162 from the Philippine
Statistics Authority, a copy of which is herein attached as
Annex “B”;

4. Both my government issued IDs bearing my customary

name NELSON ___________ and certificate of live birth
indicating my complete name EDGAR NELSON
___________ pertain to one and the same person;

5. As such, I am executing this Affidavit to attest to the truth

of the foregoing and for whatever legal purposes it may
serve.

IN WITNESS WHEREOF, I have hereunto set my hand this __ of

______, in Caloocan City, Philippines.

______________________

Affiant
D.L. No. NO2-89-0993333

SUBCRIBED AND SWORN TO before me this ___________________ in

Caloocan City, Philippines, affiant exhibiting to me his competent evidence of
identity by way of __________________ issued at ______________
on __________________.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2019.