Republic of the Philippines )

City of Cebu ) S.S.

AFFIDAVIT OF CORRECTION OF DISCREPANCY

I, _____________________, of legal age, Filipino, married and a resident of

___________________________, Philippines, after having been duly sworn in
accordance with law, do hereby depose and state that:

1. I am the President and Chairman of the Board of Directors

__________________________, a domestic corporation duly organized
and existing under the laws of the Republic of the Philippines with principal
office at _________________________.

2. As such officer, I am aware that _________________ had posted a CASH

BOND at the City Treasurer’s Office, _______________ City, relative to
Permit No. ______________________ to install __________ pieces of
____________ ft. banners/tarpaulin within the vicinity of ______________.

3. On _____________________, the City Environment and Natural Resources

Office (CENRO), City of ________________, through CENR Officer
_______________________, issued a Certification that ______________
had already pulled out the ____________ pieces ___________ ft.
banners/tarpaulin as inspected by __________________ of CENRO.

4. However, I discovered that the said CENRO Certification dated

______________________ mistakenly denominated the recipient as
“______________________.”

5. As President of the corporation, I hereby categorically state that the correct

recipient is “____________________” and not “_____________________.”

6. I am executing this affidavit in order to attest to the truthfulness and veracity

of the foregoing, to correct the error or discrepancy in the recipient and/or
payee of the Cash Bond to _______________________ and for whatever
legal purpose this may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature on

___________________ in Cebu City, Philippines.

________________________
Affiant

SUBSCRIBED AND SWORN TO before me, a Notary Public for and in the City of Cebu, this
____________________ at Cebu City, Philippines. Affiant exhibited to me his competent evidence of
identity with the following details: _______________________________.

WITNESS MY HAND AND SEAL on the date and place first above written.

Doc. No. ___

Page No. ___
Book No. ___
Series of 2019.