Republic of the Philippines)Province of Cavite)S.S.Trece Martires City)

AFFIDAVIT OF DISCREPANCY

I, ___________________, of legal age, widow, Filipino and a resident of ___________________________________, having been duly sworn in accordance with law, hereby depose and state:1. That in my Certificate of Live Birth as recorded in the National Statistics Office (NSO), it is stated that I was born on 25 October 1952 at ________________;

2. That in the records of the Social Security System (SSS), Commission on Election (COMELEC) and Office of the Senior Citizens Affairs (OSCA), it is stated that I was born on 27 October 1953 at the same address above-stated;

3. That I am executing this Affidavit of Discrepancy to attest to the truth of the foregoing facts and to explain the discrepancy in my SSS record, as regards to my date of birth;

4. Further, I am declaring that from this date hereon I would be using my true and correct date of birth of 25 October 1952 in all my papers, records and other documents. IN WITNESS WHEREOF, I have hereunto set my hand this ________________ at _______________________, and to request the SSS, COMELEC and OSCA to grant this Affidavit of Discrepancy.

________________________ AffiantID No. SUBSCRIBED AND SWORN to before me, this ___________________, with affiant exhibiting her valid Identification Card issued on 29 January 2015 at Mendez, Cavite. NOTARY PUBLICDoc. No. : ________;Page No. : ________;Book No. : ________;Series of 2015.