I, Bernadeth Carvajal – Besonia, of legal age, married and a resident of Brgy.
Becuran, Sta. Rita, Pampanga depose and states:
1. That I was born on February 10, 1978 at Lubao, Pampanga, to the
spouses Pacifo C. Carvajal Jr. and Abremila S. Carvajal as evidenced by my certificate of birth issued by the Philippine Statistics Authority or formerly known as National Statistics Office. A copy of such is hereto attached as “Annex A” and made integral part hereof;
2. However, as per my UNIFIED MULTI-PURPOSE (UMID)
ID which has the ID No. _______ issued here in the Republic of the Philippines, my name was erroneously entered as BERNADETH CARUAJAL – BESONIA respectively, contrary to my true and correct name which is BERNADETH CARVAJAL – BESONIA respectively, as adverted above. A copy of the said UMID ID is hereto attached as “Annex B” and made integral part hereof;
3. That such erroneous entry in my adverted UNIFIED MULTI-
PURPOSE (UMID) ID, specifically referring to my name was a mere product of inadvertence and clerical mistakes;
4. That I already reported such matter to the government agency
concerned and the latter informed me that the correction of the said erroneous entry is still being processed and being fixed in the present time;
5. That BERNADETH CARUAJAL – BESONIA born on February 10,
1978 at Lubao, Pampanga and BERNADETH CARVAJAL – BESONIA born on February 10, 1978 at Lubao, Pampanga, refers to one and the same person;
6. That I am using the name BERNADETH CARVAJAL – BESONIA to
my other government issued identification cards such as my driver’s license issued by the Land Transportation Office and my PRC membership ID issued by the Philippine Regulatory Commission. Copies of these identification cards are hereto attached as “Annex C and D” and made integral part hereof;
7. That I am executing this affidavit to attest to the truthfulness of the
foregoing statements and for whatever legal intents and purposes it may serve. IN WITNESS WHEREOF, I have hereunto set my hand this _____ day of July 2018, in ____________________________, Pampanga, Philippines.
BERNADETH CARVAJAL – BESONIA
AFFIANT
SUBSCRIBED AND SWORN to before me this ______ day of July 2018, in
_______________, Pampanga, Philippines by Bernadeth Carvajal – Besonia with her PRC I.D No. 335285 issued by the Philippine Regulatory Commission, known to me to be the same person who personally signed the foregoing affidavit and acknowledged that he executed the same.