AFFIDAVIT OF ONE AND THE SAME PERSON

I, CAROLYN ESVER PILAPIL , of legal age, Filipino citizen, with Philippine address at
_________________________________________________, and presently residing in the
mentioned address after having been duly sworn in accordance with law, hereby depose and state
that:

1. I was born to spouses and on May 03 1968 in Tabogon and was name in my Certificate of
Live Birth/Report of Birth as
_____________________________________________________________________;

2. I have consistently used in all my transactions, personal or otherwise, the name CAROLYN
ESVER PILAPIL;

3. When I applied for a Philippine passport, I used the name ________________________

_____________________________________________________________________;

4. In my ____________________________________________, my name appears to be

_____________________________________________________________________;

5. I am executing this affidavit to attest to the veracity of the foregoing statement to prove that
____________________________________________________________ and
____________________________________________________________ are one and the same
person and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this _