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JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

WE, Lisa Maganda, of legal age, married, Filipino, and presently residing at 84
Narra St., Geneva Homes, Santa Monica, Quezon City, and Denzel Mabait, of legal
age, single, Filipino, and presently residing at 48 Kaimito Avenue, Richville Homes,
Poblacion, Muntinlupa City, having been duly sworn to in accordance with law, do
hereby depose and say:
1. That we personally know JOHN MATULUNGIN, being acquaintances for a long
period of time since we were children;
2. That we declare and certify that he was born in the town of Matahimik, in
the province of Palawan, in the Philippines, on the 8th day of December, in the
year 1968.
3. That he has been using the said birth date in all his pertinent documents and
transactions since childhood;
4. That we are not related by affinity or consanguinity to John Matulungin; and
5. That we are executing this affidavit to attest to the truth of the foregoing
statement and for whatever legal purpose it may serve.
IN WITNESS WHEREOF, WE have hereunto set our hands this 4th day of
September 2015 in Diliman, Quezon City:

____________________________
Lisa Maganda
Affiant
SSS/GSIS ID No. or License No.
or Passport No.
Date of Issue/Expiry or Place of Issue,
Issue,
if applicable

______________________________
Denzel Mabait
Affiant
SSS/GSIS ID No. or License No.
or Passport No.
Date of Issue/Expiry or Place of
if applicable

SUBCRIBED AND SWORN to before me, this _____ day of ______________, in


_________________________________.
NOTARY
Doc. No.
Page No.
Book No.
Series of

PUBLIC
___________;
___________;
___________:
___________.

AFFIDAVIT OF DISCREPANCY
I, JUAN C. DELA CRUZ, of legal age, single, and a resident of Davao City, after
having been duly sworn to in accordance with law, hereby depose and say:
That since I was young, I have been using the name JOHNNY C. DELA
CRUZ;
That I am also known by my family and friends as JOHNNY C. DELA CRUZ;
That recently, I applied for membership with the Philippine Health Insurance
Corporation (PhilHealth) and as a requirement for such application, I was made to
submit my Birth Certificate;
That when I requested for a copy of my Birth Certificate from the National
Statistics Office, I was surprised that my name as reflected on the official document is
JUAN C. DELA CRUZ (A copy of the Birth Certificate is hereto appended as ANNEX
A and forms an integral part hereof);
That I attest that JOHNNY C. DELA CRUZ and JUAN C. DELA CRUZ is one
and the same person;
That from now on, I will be using my true and correct name, JUAN C. DELA
CRUZ.
That I am executing this affidavit in order to attest to the truth of the facts
aforementioned, and for any legal purpose this may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this this _____________
at ____________.
JUAN C. DELA CRUZ
Affiant
Witnesses:

SUBSCRIBED AND SWORN to before me this this _____________ at


____________,, affiant exhibiting to me his PhilHealth ID No. ________________.
Doc No. ___;
Page No. ___;
Book No. ___;
Series of _____.

Notary Public

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS


WE, WITNESS ONE and WITNESS TWO, both of legal age, both single, and
residents of Davao City, after having been duly sworn to in accordance with law, hereby
depose and say:
That we personally known JOHNNY C. DELA CRUZ because we are family
friends and we have known him for more than 30 years;
That we also personally know that JOHNNY C. DELA CRUZ has been using
that name since he was a child;
That we personally know that from available records, his authenticated Birth
Certificate indicates that his name is JUAN C. DELA CRUZ;
That we attest that JOHNNY C. DELA CRUZ and JUAN C. DELA CRUZ is
one and the same person;
That we are executing this affidavit in order to attest to the truth of the facts
aforementioned, and for any legal purpose this may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this this _____________
at ____________.

WITNESS ONE
ID/CTC No.
Issued on
Issued at

WITNESS TWO
ID/CTC No.
Issued on
Issued at

SUBSCRIBED AND SWORN to before me this _____________ at


____________, affiants exhibiting to me their competent evidence of identity written
below their names.
Doc No. ___;
Page No. ___;
Book No. ___;
Series of _____.

Notary Public

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