REPUBLIC OF THE PHILIPPINES)

Alubijid, Misamis Oriental ) S.S

AFFIDAVIT OF ONE AND THE SAME PERSON

I, , of legal age, married and a resident of Purok 2, Lourdes, Alubijid Misamis Oriental
having been sworn according to law, hereby depose and state that:

1. I have been known by the name and have used the same for most of my life, in my
personal and official records and transactions, as shown in my Driver’s License No.
issued by the Land Transportation Office;

2. I was married to who died on

3. In our marriage certificate, my name was incorrectly spelled as “;

4. Both the name and refer to one and the same person, the herein Affiant;

5. I am executing this affidavit to attest to the truth of the foregoing for the purpose of
processing the check due to me from the Veterans Federation of the Philippines.

IN WITNESS WHEREOF, I have hereunto set my hands this _____________________ in

____________________, Philippines.

SUBSCRIBED AND SWORN to before me, this _________________, in

_______________affiant exhibiting his LTO Driver’s

WITNESS MY HAND AND SEAL.

Doc No. __________

Page No. _________
Book No. _________
Series of 2023