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REPUBLIC OF THE PHILIPPINES )

QUEZON CITY ) S.S.

AFFIDAVIT ATTESTING TO ONE AND THE SAME PERSON

I, MARIA ELENA CARINO PAULINO, of legal age, Filipino, with residence


at No. 10 KH Street, Barangay West, Kamias, Quezon City after having been sworn to in
accordance with law hereby deposes and states that:

1. I was born on 3 June 1960 at Espana, Manila and that my father, Lucio Rios
Carino, and my mother, Lourdes Rosales Mores, registered me as Maria Elena Cleotilde
Mores Carino as stated in a certified true National Statistics Office (NSO) copy of my
Birth Certificate;1

2. I got married to Domingo Paulino. Since then, I used the name MARIA
ELENA CLEOTILDE C. PAULINO to reflect my married status;

3. I am known as MARIA ELENA CLEOTILDE C. PAULINO by my


relatives and neighbours;

4. In all my records, I have always used the name MARIA ELENA


CLEOTILDE C. PAULINO;

5. However, I noticed that in my Passport and Driver’s License, my name was


reflected as Ma. Elena Cleotilde C. Paulino. 2 The Department of Foreign Affairs and
Land Transportation Office contracted my name “Maria” to “Ma.” which is an acceptable
contraction according to the website www.en.wikipaedia.org;

6. Said contraction has become a common occurrence in Government Offices;

7. I am affirming to the truth of the facts as reflected in the foregoing and have
related the circumstances why there is an apparent conflict in what appears to be my
name in my Certificate of Live Birth and in some of my official records;

8. I am executing this sworn statement to apprise everyone that the name


MARIA ELENA CLEOTILDE C. PAULINO appearing in my Certificate of Live Birth
and MA. ELENA CLEOTILDE C. PAULINO, appearing in my Passport and Driver’s
License, belong to only one and the same person and for whatever legal purpose it may
serve.

AFFIANT FURTHER SAYETH NAUGHT.

IN WITNESS WHEREOF, I have hereunto set my hand this ___ day of


____________, 2013, in Quezon City, Philippines.

_________________________________
MARIA ELENA CLEOTILDE C. PAULINO

Affiant

1
Attached as Annex “A” is a copy of my Birth Certificate.
2
Attached as Annexes “B” and “C” are copies of my Passport and Driver’s License.

1
SUBSCRIBED AND SWORN to before me this ___ day of _________ 2013,
in Quezon City, Philippines, affiant personally exhibiting to me her
________________ issued on _____________.

Notary Public

Doc. No._____
Page No._____
Book No. ____
Series of 2013.

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