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

AFFIDAVIT OF DISCREPANCY
I, NENITA SANDICHO BERNARDINO, senior citizen, Filipino, widow and resident of Brgy. Palasan, Santa Cruz, Laguna 4009, after having been sworn in accordance with law, hereby depose and state that 1. I am the holder of a Senior Citizen I.D. No. 821024 issued by the Office of Senior Citizens Affairs, Santa Cruz, Laguna. In the said I.D., my name appears as NENITA SANDICHO since I am already a widow. In some of my medical records, my name appears as NENITA BERNARDINO. The surname Bernardino was taken from my deceased husband. As I am already a widow, I can already use my maiden surname Sandicho. Hence in other records, my name simply appears as NENITA SANDICHO. I hereby certify and affirm that the names NENITA SANDICHO, NENITA SANDICHO BERNARDINO, NENITA S. BERNARDINO and NENITA BERNARDINO refer to one and the same persons, the undersigned. I executed this affidavit to attest to the truth of the foregoing facts and for whatever lawful purposes this may serve.

2.

3.

4.

IN WITNESS WHEREFORE, I hereto affixed my signature this 28th day of December 2009 in Santa Cruz, Laguna.

NENITA SANDICHO BERNARDINO Affiant

SUBSCRIBED AND SWORN to before me by the affiant with Senior Citizen I.D. No. 821024 issued on 12 September 2000 in Santa Cruz, Laguna.

Doc. No. _____; Page No._____; Book No._____; Series of 2009

Atty. EMMANUEL E. SANDICHO NOTARY PUBLIC Comm. Until 31 December 2009 PTR No. 7362174, 9 Jan. 2009, Laguna IBP No. 739042, 8 Jan. 2009, Manila-IV Roll No. 42246 admitted on 9 May 1997