Republic of the Philippines)

City of Cebu……………………..) S.S.

AFFIDAVIT OF DISCREPANCY

I, of legal age, Filipino and a resident of Sitio Laguna, Bulacao, Cebu City,
Philippines after having been duly sworn to in accordance with law, do hereby
depose and say THAT –

1. I was previously employed with _______________from June 20, 2013 to

August 25, 2015;

2. My previous employer processed my PAG-IBIG certification as a pre-

employment requirement. However, upon perusal, I discovered that on
the part where my complete name should have been indicated, there
was an incomplete entry. The said PAG-IBIG Certificate only shows my
first and last name, _____________ without further indicating my
middle name, ________________;

3. The name _______________ previously employed with

____________________ and ________________ now employed with
__________________ refers to one and the same person;

4. I attest to the fact that my name is __________________________;

5. 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

______________________ in the City of Cebu, Philippines.

SUBSCRIBED AND SWORN to before me this ________________ in the City

of Cebu, Philippines, affiant exhibiting to me the above stated competent
evidence of identity.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2020.