Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 1

Republic of the Philippines)

City of Masbate )S.S.


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

AFFIDAVIT OF DISCREPANCY IN NAME


I, ZENITHSYL P. ESCUTON, of legal age, Filipino and a resident of El
Progreso Buruanga, Aklan, after having been duly sworn to in accordance with
law, do hereby depose and state:
1. That I am an active member of Social Security System with the
abovementioned registered name;

2. That I gave birth through normal delivery on April 9, 2022;

3. That in the birth certificate of my child, Prince Joel P. Sanchez, the name
that was entered was ZENITHSYL MONSERATE PRADO, which is my
maiden name;

4. That I, ZENITHSYL P. ESCUTON and the one ZENITHSYL MONSERATE


PRADO, being entered in the abovementioned birth certificate are one
and the same person, the herein affiant;

5. That I am executing this Affidavit to attest to the foregoing facts and for
any legal purpose and intent it may serve;
IN WITNESS WHEREOF, I have hereunto affixed my signature this 30 th
day of September 2022 at Masbate City, Philippines.

ZENITHSYL P. ESCUTON
Affiant
SSS ID: CRN-0007-3106821-4

SUBSCRIBED AND SWORN to before me this 30th day of September


2022. Affiant exhibited to me her valid identification card as shown below her
name which is competent proof of her identity.

Doc. No ____
Page No ____
Book No ____
Series of 2022.

You might also like