Republic of the Philippines]

Santa Cruz, Laguna ] s.s.

AFFIDAVIT OF DISCREPANCY
AND CORRECTION OF DATA

I ALVIN RATIO DOLLANO, of legal age, Filipino, married and resident

of 029 National Highway, Brgy. Labuin, Pila, Laguna after having been
sworn in accordance with law, hereby depose and state that –

1. I am the owner of an expired Philippine Passport No. J664450. In the

said passport, my birth date appeared as 26 May 1968. That was a
mistake which originated from a wrong entry in the preparation of
my application for passport. My correct birth date is 26 May 1975
which appears in my Certificate of Live Birth issued by the National
Statistics Office (NSO) and attached to this affidavit.

2. The mistake was due the fact that in the past, presentation of a birth
certificate was not a strict requirement in applying for a passport.
Hence, the error was committed in the old application for passport.

3. The person named ALVIN RATIO DOLLANO in Philippine Passport

No. J664450 and the person named ALVIN RATIO DOLLANO in the
attached Certificate of Live Birth refer to one and the same person,
the undersigned affiant.

IN WITNESS WHEREFORE, I hereto affixed my signature this 17

September 2016 in Santa Cruz, Laguna.

ALVIN RATIO DOLLANO

Affiant

SUBSCRIBED AND SWORN to before me this 23rd day of April 2014

by the affiant who exhibited to me his Driver License No. D09-97065275
issued at LTO Pila District Office, Pila, Laguna, valid until 26 May 2014.

Doc. No. _____; A T T Y. E M M A N U E L E . S A N D I C H O

Page No._____; NOTARY PUBLIC, COMMISSION UNTIL 31 DEC. 2016
Book No._____; NOTARY PUBLIC FOR THE PROVINCE OF LAGUNA
Series of 2016. PER NOTARIAL COMMISSION SP. PROC. NO. 164(15)
IBP O.R. No. 995689, 04 January 2016, Laguna Chapter
PTR O.R. No. 2967138, 04 January 2016, Laguna
Roll No. 42246, admitted to practice law on 9 May 1997
MCLE Compliance No. V-0015412, dated 6 March 2016