REPUBLIC OF THE PHILIPPINES)
CITY OF DAVAO
) SS
AFFIDAVIT OF DISCREPANCY IN NAME
I,
Tiburcio T. Tan
, of legal age, married, and with address at 123 Zinia
Drive, Ladislawa Village, Buhangin, Davao City under oath, state:
1. THAT my name is
Tibonsyo T. Tan
as stated and registered in my
birth certificate issued by office of the Civil Registry of Davao City. A
copy of my birth certificate is hereto attached as ANNEX “A”;
2. THAT the name
Tibonsyo T. Tan
also appears in my passport which
was issued based on the data appearing in my birth certificate. A copy
of the page of my passport where my name and picture appears is
hereto attached as ANNEX “B”;
3. THAT since childhood, my friends and acquaintances call me
Tiburcio
and thus since then I have been accustomed to using the
name
Tiburcio T. Tan
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- Fall '16
- Dimphna Dulay
- Tiburcio T. Tan
