AFFIDAVIT OF DISCREPANCY

WINSTON LY LAURICO
I, _________________________________________________, of legal
PANGHULO MALABON CITY
age, single/married/widow, citizen of ______________________ and presently
MALABON CITY METRO MANILA
residing at ______________________________________________________,
after having been duly sworn to in accordance with law, do hereby depose and
say:

That my name is __________________________________,

WINSTON LY LAURICO STA. ANA as stated
and registered in my birth certificate issued by the local civil registrar in country
of my birth, Republic of the Philippines;

That during my childhood and adult years, I have been accustomed to

the use of the name ____________________________________;
WINSTONLY LAURICO

That I assumed the name _____________________________,

WINSTON LY LAURICO STA. ANA when I
signed official documents and exercised my professional work in Canada;

That the names ___________________

WINSTONLY and_____________________
WINSTON LY
refer to one and the same person; and

That I am executing this Affidavit to clear any discrepancy which may

arise from official documents bearing either name “___________________”
WINSTONLY or
“____________________ “;
WINSTON LY

IN WITNESS WHEREOF, I have hereunto set my hand this

_________________ at __________________________, Canada.

_______________________
(Affiant)

Signed in the presence of: ___________________ ____________________

at the Philippine Consulate General, Toronto, Ontario, Canada