Republic of the Philippines)

Province of ____________________) S.S.

City/Municipality of _____________)

x - - - - - - - - - - - - - - - - - - - - - - - - x

AFFIDAVIT OF DISCREPANCY

(ONE AND THE SAME PERSON)

I, Ghlen Miller Layaguin Centino, Filipino, single of legal age, with address at 106 Marian

Poblacion Sta. Maria Bulacan after having been duly sworn to in accordance with law hereby

depose and say that:

1) In my (Philippine National Police) Incident Record Form my name appeared Gheln

Miller Layaguin Centino instead of Ghlen Miller Layaguin Centino.

2) Attach is a copy of my Birth Certificate as “ANNEX A”.

3) Both names indicated on the above-mentioned documents pertain to one and the same

person.

4) I am executing this affidavit to attest to the truth and for whatever legal purposes it may

serve.

IN WITNESS WHEREOF, I have hereunto set my hand this _____________ at _____________,

Philippines.

Ghlen Miller Layaguin Centino

Affiant

SUBSCRIBED AND SWORN TO before me, a notary public in and for

_____________________ this ___________________, the affiant, whom I identified through

competent evidence of his identity, Drivers License C37-21-003333, personally signed the

foregoing instrument before me and avowed under penalty of law to the whole truth of the

contents of said instrument.

Notary Public

Doc. No. ……..;

Page No. …….;

Book No. …….;

Series of 2022.

11 Affidavit-OF- Discrepancy

Education (EDU101)