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REPUBLIC OF THE PHILIPPINES)

ANGELES CITY
)S.S.

AFFIDAVIT OF DISCREPANCY
I, A B C, of legal age, married, Filipino, and a resident of
_____________________________, after having been sworn in accordance with
law, hereby depose and state that:
1.
I am the sole proprietor and registered owner of
_____________________________ (the business) with business address at
_____________________________
2.
I was issued a DTI Certificate No. _____________________________for
the Business Name Registration of the
said business, valid from
_____________________________ to _____________________________;
3.
Unfortunately, the said DTI Certificate erroneously interchanged
my middle and family name as A C B instead of my true and correct name
which is A B C, and which correct name appeared in my previous DTI
Certificates, as well as my government issued IDs such as my Drivers
License and Passport;
4.
The name A C B, and the name A B C refer to one and the same
person, herein Affiant;
5.
I am executing this Affidavit to attest to the truthfulness of the
foregoing statements, to explain the error in my DTI Certificate of
Registration, and for whatever legal purpose this may serve.
IN
WITNESS
WHEREOF,
I
have
set
my
hand
this
_____________________________ at _____________________________City, Philippines.
_____________________________
SUBSCRIBED
AND
SWORN
to
before
me
this
_____________________________at _____________________________City, Philippines,
affiant
personally
known
to
me
and
exhibiting
to
me
his
_____________________________.
Doc. No.
;
Page No.
;
Book No.
;
Series of 2016.