REPUBLIC OF THE PHILIPPINES)

__________________________ ) SS.
AFAFFIDAVIT OF DISCREPANCY IN NAME
I, JOSE MARIE BARCENILLA DARAS, of legal age, Filipino, and with
address at Bolod, San Pascual, Masbate under oath, state:
1) THAT my name is JOSE MARIE BARCENILLA DARAS as stated and
registered in my birth certificate issued by office of the Civil Registry
of Place, Masbate. A copy of my birth certificate is hereto attached as
ANNEX A;
2) THAT my married name JOSE MARIE BARCENILLA DARAS also
appears in valid identification documents (TIN, Postal I.D., Barangay
Clearance and other identification cards) which were issued based on
the data appearing in my birth certificate;
3) THAT since childhood, my friends and acquaintances call me JOSE
MARIE BARCENILLA DARAS
thus since then I have been
accustomed to using the name JOSE MARIE BARCENILLA DARAS in
my personal records, transactions and communications;
4) THAT the name JOSE MARIE BARCENILLA DARAS, JOSIE MARIE
DARAS, and JOSE MARI DARAS all refer to one and the same
person, the herein Affiant;
5) That in the Certificate of Live Birth Registry No. 267 (F-83) in the
Province of Camarines Sur (herein attached as Annex B), the name
JOSE MARIE BARCENILLA DARAS was inadvertently typed wrongly
by the Clerk as
JOSIE MARIE DARAS
instead of
the
correct name, JOSE MARIE DARAS;
6) That in the Certificate of Date Registry No. 2014-2383 in the City of
Dasmarias, Cavite, the name JOSE MARIE BARCENILLA DARAS was
also entered with error by the CCR Clerk Kenneth J. Jaena as JOSE
MARI DARAS instead of the correct name as JOSE MARIE DARAS,
which we did not noticed beforehand, until now;
7) THAT I am executing this Affidavit to attest to the truth of the foregoing
facts and to use the same for claiming benefits at the Home
Development Mutual Fund (PAG-IBIG FUND).
IN WITNESS WHEREOF, I hereunto affix my signature this _________________ at
________________________________________.

JOSE MARIE BARCENILLA DARAS

Affiant
SUBSCRIBED AND SWORN to before me this _______________ at
_______________, Affiant exhibiting to me his ID bearing No.
______________________________ issued at ______________ on _________________.
Doc No. ________;
Page No. _______ ;
Book No. _______;
Series of ________.

SPECIAL POWER OF ATTORNEY

KNOW ALL BY THESE PRESENTS:
I, MA. CONSOLACION O. GONZALES , Filipino, of legal age, with
residence at Blk 22 Lot 21 Fiesta Communities, Maunawain St., Brgy.
Manibaug, Paralaya, Porac, Pampanga, do hereby NAME, APPOINT and
CONSTITUTE: ERLINDA O. ACLAN, Filipino citizen, of legal age, with
residence and postal address at Blk 50 Lot 15, Phase 3 Golden City Dasma
1, Salawag, Dasmarias City, Cavite with Unified Multi-Purpose ID No.00050308247-3, as my true and lawful Attorney-in-Fact for and in my name, place
and stead to do and perform any of the following acts and things, to wit:
1. To process the documents with the HOME DEVELOPMENT MUTUAL
FUND (PAG-IBIG FUND) in connection with the benefits due to my son,
MICHAEL OJEDA DARAS;
2. To claim any check/checks to be issued by the PAG-IBIG Fund on my
behalf.
HEREBY GIVING AND GRANTING unto the said Attorney-in-Fact full
power and authority to do and perform any and all acts and things
whatsoever proper and requisite, as fully to all intents and purposes as may
be lawfully done or cause to be done if personally present, with the power of
substitution and hereby ratifying and confirming all that the said Attorney-inFact may do and perform by virtue of these presents.
IN WITNESS WHEREOF, we hereby, set our hands this ____ day of
_______________, 20___ at _______________________________,

MA. CONSOLACION O.
GONZALES
Grantor
ERLINDA O. ACLAN
Grantee
SIGNED IN THE PRESENCE OF:
_________________
Witness

___________________
Witness

ACKNOWLEDGEMENT
REPUBLIC OF THE PHILIPPINES)
__________________________)
BEFORE ME, a Notary Public for and in the Municipality/City of
___________, this day of __________________, 20____, personally appeared: MA.
CONSOLACION O. GONZALES, who executed the foregoing instrument
consisting of one (1) page including the acknowledgement thereof and she
acknowledged to me that the same is her free act and deed.
WITNESS MY HAND AND NOTARIAL SEAL, on the date, year and place
above written.
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 20___.