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REPUBLIC OF THE PHILIPPINES )

BUTUAN CITY ) S.S.

AFFIDAVIT OF CORRECTION

I, MAY LOVE VILLASORDA GALINATO, of legal age, Filipino, single and with
address at P-6 Paradise, Libertad, Butuan City, Agusan del Norte, after being duly sworn
according to law, depose and state:

1. That recently, in my printed Passport Application Form, I discovered that my name


appears as “MAY LOVE GALIANTO” instead of MAY LOVE VILLASORDA
GALINATO, and my place of birth appears as “Butuan City” instead of Gingoog
City;

2. That I am executing this affidavit to show and inform the Department of Foreign
Affairs (DFA) Butuan City, that my correct name is MAY LOVE VILLASORDA
GALINATO, and my correct birth place is GINGOOG CITY as shown in my
Birth Certificate attached herein;

3. That I attest to the truth of the foregoing facts.

FURTHER AFFIANT SAYETH NONE.

IN WITNESS WHEREOF, I have hereunto set my hand this 21st day of December 2017
at Butuan City.

MAY LOVE VILLASORDA GALINATO


Affiant

SUBSCRIBED AND SWORN to before me this 21st day of December 2017 at Butuan
City, Philippines. Affiant exhibiting to me her ___________________ as proof of her identity.

Doc. No.___;
Page No.___;
Book No. VI;
Series of 2017.

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