AFFIDAVIT OF ONE AND THE SAME PERSON

I, xxx, xxx citizen, of legal age, married to xxx, with residence at xxx, after having been
sworn in accordance with the law, do hereby depose and state that:

1. I was born on xxx in Manila, Philippines and my name, as appearing in my birth

certificate is “xxx”, as shown in the attached certified true copy thereof issued by the Philippine
Statistics Authority, marked herein as Annex “A”;

2. That my family, relatives, friends, associates, co-workers, and community know

and call me also by my nicknames, “xxxx” and “xxxx”;

3. That I married xxx on xxx in xxx, as shown in the attached certified true copy of
our marriage certificate, marked herein as Annex “B”;

4. In light of this, I used my husband’s surname as my surname, thus, I have

been known by the name “xxx” and have been accustomed to using the same in my
personal and official records, transactions, and communications, as shown by
the following _____(IDs and Documents, etc)___, attached and marked herein as Annex “C”
Series.

5. My name, as appearing in ______ is “xxx”, as shown in the attached certified true

copy of the said document, marked herein as Annex “D”;

6. My name, as appearing in ______ is xxx, as shown in the attached certified true

copy of the said document, marked herein as Annex “E”;

7. My name, as appearing in ______ is xxx, as shown in the attached certified true

copy of the said document, marked herein as Annex “F”;

8. I hereby attest that the names “xxx”, “xxx”, “xxx”, “xxx”, and “xxx” refer to one
and the same person.

9. I am executing this Affidavit in order to attest to the truth of the foregoing

matters, for setting the records straight, and for whatever legal purposes it may serve.

IN WITNESS WHEREOF, I hereby affix my signature this _________ day of

______________________ 2024, at __________________________________________.

xxx
Affiant

SUBSCRIBED AND SWORN to before me this ___________ at _________________ affiant

exhibiting to me her _________ with ID No. _____________ issued on ___________ valid
until _______________ as her competent evidence of identity.

Doc. No. ____;

Page No. ____;
Book No. ____;
Series of 2024.