AFFIDAVIT OF DISCREPANCY

(ONE AND THE SAME PERSON)

I, SUSAN ROCAS BUENDIA, Filipino citizen, of legal age, with address at Unit 2606, 26 th
Floor, The Gramercy Residences, 71 Salamanca Street, Barangay Poblacion, Makati City,
after having been duly sworn in accordance with law hereby depose and state that:

1. The attached Certificate of Birth with Register No. 2281 issued on 24 October
1952 indicates my name at birth as “Baby Susan Rocas”;

2. On the other hand, in the Philippine Passport No. _____________________ issued

on ____________________ at _____________________ my name is indicated as “Susan
Rocas-Buendia”;

3. Both documents pertain to one and the same person; and

4. I am executing this affidavit to attest to the veracity of the foregoing and for
whatever legal purposes it may serve.

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

2023, in Makati City.

SUSAN ROCAS-BUENDIA
Affiant

SUBSCRIBED AND SWORN to before me this ____ day of __________ 2023, in Makati
City, affiant exhibiting to me her _________________________, issued at
___________________ and valid until ___________________.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2023.