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REPUBLIC OF THE PHILIPPINES)

PARANAQUE CITY )S.S

AFFIDAVIT OF DISCREPANCY
(re: one and the same person)

I, MICA ELLA ALOQUEN CORNEL, of legal age, Filipino, and a resident of A-1
Sitio Libjo Sto. Niño, Parañaque City, after having been sworn to in accordance with law,
hereby depose and say that;

1. That I am the mother of CHENG TIAN CORNEL OUYANG who is the affiant
herein with his birth details being born on May 14, 2022 in Parañaque City,
Philippines;

2. That his name is CHENG TIAN CORNEL OUYANG as stated and registered in his
birth certificate issued by the Local Civil Registrar in Parañaque City, Philippines;

3. That I hereby certify and affirm that “JIA LIN OUYANG” as appearing in his Child
Immunization Record and “CHENG TIAN CORNEL OUYANG” as appearing in
his birth certificate, refers to one and the same person;

4. That I am executing this affidavit to attest to the truth of the foregoing facts and
whatsoever this may serve

IN WITNESS WHEREOF, I have hereunto set my hand this , in the


City of Paranaque, Philippines.

MICA ELLA ALOQUEN CORNEL


Affiant
Philippine Passport No. P0566277C

SUBSCRIBED AND SWORN to before me, in the City of Paranaque, this


.

Doc. No.:
Page No.:
Book No.:
Series of 2023

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