Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                

Republic of The Philippines) Province of Isabela) S.S. Municipality of Cabagan)

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 5

Republic of the Philippines )

Province of Isabela )S.S.


Municipality of Cabagan )

AFFIDAVIT OF DISCREPANCY

I, NOMER RAMBAC CURIBANG, Resident of San Vicente, San Pablo, Isabela,


after having duly sworn in accordance with law do hereby declare that:

1. That, I am the same person executing this affidavit;

2. That when a copy of my Certificate of Live Birth was issued to me by NSO, It


appears that the entry pertaining to my full name bears “NOMER RAMBAC
CURIBANG JR” which should have been “NOMER RAMBAC CURIBANG” and
the date of my birth appearing therein is “ MARCH 22, 1993” which should be
“FEBRUARY 22, 1993” and the place of my birth is “SIMANU SUR SAN
PABLO,ISABELA” which should be “SAN VICENTE SAN PABLO, ISABELA”;

3. That, I had been using as my correct name “NOMER RAMBAC CURIBANG” the
correct date of my birth which is “ FEBRUARY 22, 1993” and the correct place of
my birth which is “ SAN VICENTE, SAN PABLO, ISABELA” as my full name in
all my Public and Private transactions;

4. That those misspelled entries and which I had been using in all public and private
transactions refer to one and the same person;

5. That, I am executing this affidavit in order to attest the truthfulness of all the
foregoing statements and for all lawful intent and purposes it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 8 th day of


November 2017 at Cabagan, Isabela.

NOMER RAMBAC CURIBANG


Affiant

SUBSCRIBED AND SWORN to before me this 8th day of November


2017 at Cabagan, Isabela.
Republic of the Philippines )
Province of Isabela )S.S.
Municipality of Cabagan ) Registry No. 2008-2934

AFFIDAVIT TO USE SURNAME OF THE FATHER

I, VICENTE MALLANAO AGGABAO, of legal age, married, and resident of Aggub Cabagan,
Isabela, after having duly sworn in accordance with law do hereby declare that:

1. I am seeking the use the surname AGGABAO in the Certificate of Live Birth of Maria
Elena Moncoda who is my daughter, pursuant to R.A. 9255.

2. She was born on June 16, 2008 at Cagayan Valley Medical Center, Tuguegarao City,
Cagayan, Philippines;

3. The birth was recorded under Registry No. 2008-2934;

4. I am filing this affidavit at the LCRO of Tuguegarao City, Cagayan in accordance with
RA No. 9262 and its implementing Rules and Regulations.

5. I hereby certify that the statements made herein are true and correct to the best of
my knowledge and belief;

6. In truth whereof. I have hereto affixed my signature this 30th day of May 2011

With Conformity:

AILEEN CASTILLO MONCADA VICENTE MALLANAO AGGABAO


Mother Affiant

SUBSCRIBED AND SWORN to before me this 30th day of May 2011, in the municipality of
Cabagan, affiant exhibiting his Community Tax Certificate No. CCI2010 18336883 issued at
Cabagan, Isabela on May 30, 2011.
Republic of the Philippines )
Province of Isabela )S.S.
Municipality of Cabagan ) Registry No. 2008-2934

AFFIDAVIT TO USE SURNAME OF THE FATHER

I, VICENTE MALLANAO AGGABAO, of legal age, married, and resident of Aggub Cabagan,
Isabela, after having duly sworn in accordance with law do hereby declare that:

1. I am seeking the use the surname AGGABAO in the Certificate of Live Birth of Maria
Elena Moncoda who is my daughter, pursuant to R.A. 9255.

2. She was born on June 16, 2008 at Cagayan Valley Medical Center, Tuguegarao City,
Cagayan, Philippines;

3. The birth was recorded under Registry No. 2008-2934;

4. I am filing this affidavit at the LCRO of Tuguegarao City, Cagayan in accordance with
RA No. 9262 and its implementing Rules and Regulations.

5. I hereby certify that the statements made herein are true and correct to the best of
my knowledge and belief;

6. In truth whereof. I have hereto affixed my signature this 30th day of May 2011

With Conformity:

AILEEN CASTILLO MONCADA VICENTE MALLANAO AGGABAO


Mother Affiant

SUBSCRIBED AND SWORN to before me this 30th day of May 2011, in the municipality of
Cabagan, affiant exhibiting his Community Tax Certificate No. CCI2010 18336883 issued at
Cabagan, Isabela on May 30, 2011.
Republic of the Philippines )
Province of Isabela )S.S.
Municipality of Cabagan )

AFFIDAVIT OF DISCREPANCY

I, JERWIN MARAYAG of legal age, single, and resident of Garita, Cabagan, Isabela, after
having duly sworn in accordance with law do hereby declare that:

6. That, I am the same person executing this affidavit;

7. That when a copy of my AFP Aptitude Test Battery and was issued to me by Philippine
Army Testing Center, It appears that the entry pertaining to my first name bears
“JERWINN” which should have been “JERWIN”;

8. That, I had been using “JERWIN” as my first name in all my Public and Private
transactions;

9. That the misspelled entry and which I had been using on all public and private
transactions refers to one and the same person;

10. That, I am executing this affidavit in order to attest the truthfulness of all the foregoing
statements and for all lawful intent and purposes it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 9th day of June 2015 at
Cabagan, Isabela.

JERWIN MARAYAG
Affiant

SUBSCRIBED AND SWORN to before me this 9th day of June 2015, at Cabagan, Isabela
Republic of the Philippines )
Province of Isabela )S.S.
Municipality of Cabagan )

AFFIDAVIT OF DISCREPANCY

I, NOMER RAMBAC CURIBA, of legal age, and resident of San Vicente, San Pablo,
Isabela, after having duly sworn in accordance with law do hereby declare that:

1. That, I am the same person executing this affidavit;


2. That , when a copy of my certificate of live birth was issued to me by National Statistics
Office, It appears that the entry pertaining to my middle initial bears “MAMAWAG”
3. That, it also appears in the entries that my mother’s miaiden name bears “MAGAWAY”
AND “MAMAWAG” instead of “MAGAUAY” and “MAMAUAG”;
4. That likewise appear therein that my father’s middle initial was entered as
“MALANAO” instead of “MALLANAO”;
5. That, I had been using “MAMAUAG” as my middle initial, MAGAUAY and
MAMAUAG as my mother’s maiden name, and “MALLANAO”as my father’s middle
initial in all my Public and Private transactions;
6. That those misspelled entries and which I had been using ion all public and private
transactions refer to one and the same person;
7. That, I am executing this affidavit in order to attest the truthfulness of all the foregoing
statements and for all lawful intent and purposes it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 5th day of December
2013 at Cabagan, Isabela.

MARIFE MAMAUAG CALUMAYAN-


UY Affiant

SUBSCRIBED AND SWORN to before me this 5th day of December 2013, at Cabagan,
Isabela affiant exhibiting to me her Valid Postal Identity card No. 2065997 issued by PPC
Cabagan, Isabela.

WITNESS MY HAND AND SEAL on the date and place first above written.

You might also like