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Republic of the Philippines ) City of Cotabato ) s.s.

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AFFIDAVIT OF DISCREPANCY
ROSEMARIE R. AGNILA, Filipino, of legal age, widow, and a resident of New Panay, Aleosan, Cotabato, after having been sworn to in accordance with law, do hereby depose and state, THAT --1. I am the wife of the Late SSg. Roger G. Agnila who died last August 21, 2011; 2. I am applying for a Death Claim at GHQ, AFP, Camp Emilio Aguinaldo, Quezon City; 3. As one of the requirements, I have a copy of our NSO dulyauthenticated Certificate of Marriage with Registry No. 97-445 registered at the Local Civil Registry of Midsayap, Cotabato; 4. However, in our Certificate of Marriage, the Middle Initial of my father in-law was erroneously written as letter R instead of letter P for Penaflor, as evidenced in my late husbands Certificate of Birth which is also authenticated by NSO; 5. Also, in my NSO duly-authenticated Certificate of Live Birth with Local Civil Registry No.181 registered at the Local Civil Registry of Libungan, Cotabato, the last name of my mother was erroneously written as APOLINAR instead of POLINAR; 6. The entries sought to be corrected is clerical error and innocuous, and not substantial which would otherwise affect civil status, citizenship, or nationality; I am executing this AFFIDAVIT to attest to the truthfulness of the foregoing facts, in support for my application for Death Claim at GHQ, AFP, Camp Emilio Aguinaldo, Quezon City, and for whatever legal purpose it may serve. Affiant further sayeth naught.

I,

This 16th day of May, 2012 in Cotabato City, Philippines.

ROSEMARIE R. AGNILA Affiant

Subscribed and sworn to before me this 16th day of May, 2012, in Cotabato City, by the affiant, after exhibiting to me her PRC Registration No. 0181793.
Doc. No. ___; Page No. ___; Book No. ___; Series of 2012.

Republic of the Philippines ) City of Cotabato ) s.s. x-------------------------------------x

AFFIDAVIT OF DISCREPANCY

I, TERESITA C. ELUSTRACION, Filipino, of legal age, single, and a


resident of Midsayap, after having been sworn to in accordance with law, do hereby depose and state, THAT --1. I am applying for a Passport at the Department of Foreign Affairs; 2. I have an NSO duly-authenticated Certificate of Live Birth with Serial No. 97-00187 registered at the Local Civil Registry of Badiangan, Iloilo; 3. However, in my Certificate of Live Birth, under Box No. 11: Age of my mother, it was erroneously written as 36, instead of 26; 4. The entries sought to be corrected is clerical error and innocuous, and not substantial which would otherwise affect civil status, citizenship, or nationality; I am executing this AFFIDAVIT to attest to the truthfulness of the foregoing facts, in support of the CORRECTION OF THE ENTRIES in my Certificate of Live Birth, and for whatever legal purpose it may serve. Affiant further sayeth naught. This 4th day of October, 2010 in Cotabato City, Philippines.

TERESITA C. ELUSTRACION Affiant Subscribed and sworn to before me this 4th day of October, 2010, in Cotabato City, by the affiant, after exhibiting to me her pertinent government-issued ID in accordance with the 2004 Rules on Notarial Practice.

Doc. No. ___; Page No. ___; Book No. ___; Series of 2010.