Republic of the Philippines )

Quezon City ) s.s.

AFFIDAVIT

I, ____________________________ (Name), of legal age and resident of

__________________________________, after being duly sworn, deposes and
states:

That I personally know Silvino D. Gamboa as one and the same person as
Servillano Gamboa and Estrelita M. Gamboa as the same person as Estrella
Miclat.

That I have personally known the same spouses for______ years and that
the reflected deficiencies in the names of the spouses as recorded in the
documents are mere irregulaties and thus prove that they are the same individuals
which I have known.

__________________________________
Affiant

SUBSCIBED AND SWORN TO before me in Quezon City on this day

of__________________, affiant exhibiting before me his
__________________________(Identification Card) issued on
______________________ at_______________________________.

NOTARY PUBLIC
Doc NO.
Page No.
Book No.
Series of 2019