Affidavit of Supplemental Report

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REPUBLIC OF THE PHILIPPINES)

MANDAUE CITY ) S.S.

AFFIDAVIT OF SUPPLEMENTAL REPORT

I, JEMAR MARTICIO PARAS, of legal age, Filipino, and a resident of Cebu


City, after having been duly sworn to in accordance with law hereby depose and
state:

1. That my name is JEMAR MARTICIO PARAS, the document owner of


the herein attached Local Civil Registrar Copy of Certificate of Birth and made
an integral part of this affidavit;

2. That I was born on February 1, 1991;

3. That the Registry Number of the abovementioned document is 91-


110;

4. That the entry omitted during the time of registration is my sex which
is Male;

5. That such omission was due to the punching of holes in the said
entry;

6. That I am executing this affidavit to attest to the veracity of the


foregoing facts and for whatever legal purpose this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 11 th day of


January 2019 at Mandaue City, Cebu.

JEMAR MARTICIO PARAS


Complainant

SUBSCRIBED AND SWORN TO BEFORE ME, this 11th day of January 2019
at Mandaue City, Cebu, Affiant exhibited to me his PAG-IBIG ID bearing the
numbers 1210-2516-5926 as competent evidence of his identity. I hereby certify that
I have examined the affiant and I am satisfied that he voluntarily executed the
foregoing affidavit and understood the same.

Doc. No. 258;


Page No. 52;
Book No. I;
Series of 2019.

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