Republic of the Philippines)

Pasay City
) s.s

JOINT AFFIDAVIT OF DISCREPANCY

We, __, 89 years of age, Filipino citizen and resident of ___after having been duly sworn
to us accordance with law, do hereby depose and say;
1. THAT we know personally__, American Citizen, because we are long-time friends
and acquaintance.
2. THAT we always attend his birthday which is on 02 May 1988.
3. THAT we have known the 02 May 1942 to be his birthday from the time to have
known him.
4. THAT we are executing this affidavit to attest to the truth of the foregoing and for the
purpose of submitting the same to the GSIS and Pag-Ibig Fund.
Further to the above, affiants sayeth none.

Affiant

Affiant

SUBSCRIBED AND SWORN to before me this _____________________ at Pasay City,

affiants exhibited to me their residence certificates as follows:
___________________

___________________

WITNESS MY HAND AND SEAL this _____________________

Philippines.

Doc. No.
Page No.
Book No.
Series of 2003
Joint affidavit(the)

at Pasay City,