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Affidavit of Discrepancy

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REPUBLIC OF THE PHILIPPINES]

CITY OF MANILA ] S. S.

AFFIDAVIT OF DISCREPANCY

I, JOHN EARL G. QUION, of legal age, Filipino, single, and residing at 2637 Lico Street
Tondo Manila, after having been duly sworn to in accordance with law, hereby depose and
state:

1. That I was born on March 6, 1994 in Manila and my parents are MERCY G. QUION and
DANTE A. QUION ;

2. That in my Certificate of Live Birth issued by the Philippine Statistics Authority under
Local Civil Registrar No. 94-15376, her name was recorded as JOHN EARL G. QUION;

3. That JOHN EARL G. QUION is the name known by my relatives and friends and this
is the name appearing in my school records and other pertinent legal documents bearing
my signature;
4. That in my E1 Form issued by Social Security System (SSS) my name was recorded as
JOHN EARL G. QUION but in their Database my name was recorded as JOHN CARL
G. QUION :

5. That the name JOHN CARL G. QUION and the name JOHN EARL G. QUION refers
to one and the same person;

6. That I am executing this affidavit to attest to the truth of the foregoing facts and
circumstances and for whatever all legal intents and purposes this instrument may
serve.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed my signature on this 2ND
day of September, 2019 in the City of Manila, Philippines.

JOHN EARL G. QUION


Affiant

SIGN IN THE PRESENCE OF:

MARITES P. NUQUE ZENAIDA M. RAMOS


Witness Witness

SUBSCRIBED AND SWORN to before me this 2nd day of September, 2019 in the City of
Manila, having exhibited to me his Philippine Passport with Passport No. P4238308 A issued by
the Department of Foreign Affairs.

Doc. No. ______


Page No. ______
Book No. ______
Series of 2019.

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