Affidavit of Correction

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Republic of the Philippines )

City of Zamboanga ))
x-------------------------x

AFFIDAVIT OF CORRECTION OF ENTRY

I, JEANETTE R. CUICO, of legal age, married, Filipino citizen and a resident


of Mampang, Zamboanga City, under oath, do hereby depose and state-

1. That I am the surviving daughter of the late FELICITAS ENEBRAD RAMOS


who died on August 16, 2020, in Zamboanga City;

2. That I was the one who processed her Certificate of Birth before the
Philippine Statistics Authority;

3. That on the process of registering her death, I erroneously declared that


her date of birth is on December 16, 1952 instead of December 16, 1951 as
reflected in her Certificate of Live Birth;

4. That I am executing this affidavit to attest the veracity of the foregoing facts and
for all intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 1 st day of September,


2020, in the City of Zamboanga, Philippines.

JEANETTE R. CUICO
Affiant
ID No. (Driver’s License) J04-02-092155

SUBSCRIBED AND SWORN to before me this 1 st day of September, 2020, in the


City of Zamboanga, Philippines.

Doc. No. _____;


Page No. _____;
Book No. 04;
Series of 2020.

5.

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