Patrolman Pnp-Saf, 2 Special Action Battalion,: Affidavit of Confirmation

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Republic of the Philippines)

)
)...s.s.

AFFIDAVIT OF CONFIRMATION

I,______________________, a Filipino of legal age, a resident of


________________________, a bona fide member of the Philippine National Police with the
rank of PATROLMAN and presently assigned at PNP-SAF, 2ND SPECIAL ACTION
BATTALION, after having been duly sworn to in accordance with law, do hereby depose
and says that:

1. Pursuant to this affidavit, I am confirming that the following are my legal


beneficiary/ies and/or heir/s, to wit:

NAME RELATIONSHIP BIRTHDATE

2. My relationship with person/s whose name/s is/are listed above is/are borne out by
the fact that I am the lawful spouse and the father/mother of the afore-mentioned
child/children as evidenced by the attached advisory on marriages, marriage contract
and birth certificate/s;

3. That all the documents I have attached and submitted to support the updating of my
Declared Legal Beneficiary/ies are original copies obtained from Philippine Statistic
Authority (PSA); and

4. I hold myself criminally and administratively liable for perjury and dishonesty should
any statements made herein/documents submitted herewith are inaccurate or later
found to be false and in violation of law.

AFFIANT SAYETH NAUGHT:

____________
Affiant
Contact No.___________

SUBSCRIBED AND SWORN to before me this ___________ day of ________________ at


___________________________________, Philippines

Doc. No.
Page No.
Book No.
Series No.
SAMPLE: SOLO PARENT
Republic of the Philippines)
)
)...s.s.

AFFIDAVIT OF CONFIRMATION

I, __________________, a Filipino of legal age, a resident of


_______________________, a bona fide member of the Philippine National Police with the
rank of Patrolman and presently assigned at PNP SAF, 2nd Special Action Battalion after
having been duly sworn to in accordance with law, do hereby depose and says that:

1. Pursuant to this affidavit, I am confirming that the following are my legal


beneficiary/ies and/or heir/s, to wit:

NAME RELATIONSHIP BIRTHDATE

2. My relationship with person/s whose name/s is/are listed above is/are borne out by
the fact that I am the lawful father/mother of the afore-mentioned child/children as
evidenced by the attached cenomar and birth certificate/s;

3. That all the documents I have attached and submitted to support the updating of my
Declared Legal Beneficiary/ies are original copies obtained from Philippine Statistic
Authority (PSA); and

4. I hold myself criminally and administratively liable for perjury and dishonesty should
any statements made herein/documents submitted herewith are inaccurate or later
found to be false and in violation of law.

AFFIANT SAYETH NAUGHT:

Signature PNP Personnel______


Affiant
Contact No. ______________________

SUBSCRIBED AND SWORN to before me this ___________ day of ________________ at


___________________________________, Philippines

Doc. No.
Page No.
Book No.
Series No.
Republic of the Philippines)
)
)...s.s.

AFFIDAVIT OF CONFIRMATION

I, _________________, a Filipino of legal age, a resident of


__________________________ a bona fide member of the Philippine National Police with
the rank of Patrolman and presently assigned at 2SAB, PNP-SAF after having been duly
sworn to in accordance with law, do hereby depose and says that:

1. Pursuant to this affidavit, I am confirming that the following are my legal


beneficiary/ies and/or heir/s, to wit:

NAME RELATIONSHIP BIRTHDATE

2. My relationship with person/s whose name/s is/are listed above is/are borne out by
the fact that I am the lawful child of the afore-mentioned parent/s as evidenced by the
attached cenomar and birth certificate/s;

3. That all the documents I have attached and submitted to support the updating of my
Declared Legal Beneficiary/ies are original copies obtained from Philippine Statistic
Authority (PSA); and

4. I hold myself criminally and administratively liable for perjury and dishonesty should
any statements made herein/documents submitted herewith are inaccurate or later
found to be false and in violation of law.

AFFIANT SAYETH NAUGHT:

________________________________
Affiant
Contact No. 09656933273

SUBSCRIBED AND SWORN to before me this ___________ day of ________________ at


___________________________________, Philippines

Doc. No.
Page No.
Book No.
Series No.

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