You are on page 1of 1

REPUBLIC OF THE PHILIPPINES )

Gumaca, Quezon ) S.S.

AFFIDAVIT OF DISCREPANCY

I, ALEXANDER DE LEON DINGLASAN JR., of legal age, single, Filipino and a


resident of Brgy. Mabutag, Buenavista, Quezon, Philippines after having been duly sworn to in
accordance with law, hereby depose and state:

1. I was registered as ALEXANDER DE LEON DINGLASAN JR. and it is the name I


habitually used in all my records and transactions;
2. That when I applied for PUP College Entrance Test (PUPCET), I inadvertently
missed to indicate the suffix “JR” when I filled up the application form;
3. That the omission is not intentional but merely due to inadvertence and it is not meant
to defraud any person or entity;
4. That, I execute this affidavit to explain the omission of the suffix “JR” in my
PUPCET application.
5.
IN WITNESS WHEREOF, I have hereunto signed my name this 25 th day of April,
2022, at Gumaca, Quezon, Philippines.

ALEXANDER DE LEON DINGLASAN JR.


Affiant

SUBSCRIBED AND SWORN to before me this 25 th day of April, 2022 at Gumaca,


Quezon. Affiant is personally known to the Notary Public.

ROLANDO REBLEZA RECTO


Notary Public
My Commission expires December 31, 2022
Roll of Attorney No. 58282, May 4, 2010
IBP # 171955; Jan. 4, 2022/Quezon Prov.
PTR # 389962; Jan. 3, 2022/Quezon Prov.
Doc. No. 445 MCLE Compliance No. VII – 0010322, Feb. 16, 2022
Page No. 90
Book No. LXVII
Series of 2022

You might also like