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Affidavit of Discrepancy

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Republic of the Philippines ] Santa Cruz, Laguna ] s.s.

AFFIDAVIT OF DISCR E P AN C Y
I, EDUARDO GALLO LAM (a.k.a., Eduardo Ching Gallo) , of legal age, Filipino, and resident of Santa Cruz, Laguna, after having been sworn in accordance with law, hereby depose and state that 1. I am a registered paying member of the Social Security System (SSS) of the Philippines. In my SSS I.D. and records, my name appears as EDUARDO CHING GALLO since I have omng customarily used this name for a long time. 2. In my birth certificate, my name appears as EDUARDO GALLO LAM. 3. I hereby certify and affirm that the names EDUARDO GALLO LAM and EDUARDO CHING GALLO refer to one and the same person, the undersigned. 4. I executed this affidavit to attest to the truth of the foregoing facts and for whatever lawful purposes this may serve. IN WITNESS WHEREFORE, I hereto affixed my signature this _______ ___________________ 2013 in Santa Cruz, Laguna. EDUARDO GALLO LAM (a.k.a., Eduardo Ching Gallo) Affiant SUBSCRIBED AND SWORN to before me by the affiant with _______________________I.D. No. ___________________ issued on _________________ in ________________________. day of

Doc. No. _____; Page No._____; Book No._____; Series of 2013

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