CDLB

Republic of the Philippines)
) S.S.
AFFIDAVIT OF CONFIRMATION
I, Randy Ambojnon Magastino, a Filipino of legal age, a resident of 159-C 12th Avenue
Barangay 92, Caloocan City, bona fide member of the Philippine National Police with the
rank of Police Corporal and presently assigned at Sub-Station 5, Caloocan City Police
Station 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 beneficiaries
and heirs, to wit:
NAME RELATIONSHIP BIRTH DATE
Pablo Kimmayong Magastino Father June 8, 1957
Basilia Hangdaan Ambojnon Mother October 21, 1960
2. My relationship with persons whose names are listed above are borne out by
the fact that I am the lawful child of the afore-mentioned parents as evidence by the attached
cenomar and birth certificates;
3. That all documents I have attached and submitted to support the updating of my
Declared Legal Beneficiaries are original copies obtained from the Philippines 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 of later found to
be false and in violation of law.
AFFIANT SAYETH NAUGHT:

_____________________
Affiant
Contact No. 09157153903
SUBSCRIBED AND SWORN to before me this _______ day of__________in the

City of ____________, Philippines.
NOTARY PUBLIC:
Doc. No. ___________
Page No.___________
Book No.___________
Series No.__________
REQUIREMENTS FOR CERTIFICATE OF DECLARED LEGAL BENEFICIARIES
(CDLB) FOR ACTIVE MEMBERS
TABLE OF CONTENTS
Unit endorsement--------------------------------------------------------------------------------------------------A
COMPUTERIZED Affidavit of Confirmation (NOTARY PUBLIC) -----------------------------------B
ORIGINAL COPY of PSA-issued CENOMAR of PNP personnel with official receipt-------C
ORIGINAL COPY of PSA-issued Birth Certificate of PNP personnel with

Official receipt --------------------------------------------------------------------------------------------------- D
ORIGINAL COPY of PSA-issued Birth Certificate of DEPENDENTS with

Official receipt-------------------------------------------------------------------------------------------------------E
ORIGINAL COPY of PSA-issued Married Contract of Parents--------------------------------------F
Photocopy of Valid ID with 3 SIGNATURES and 2x2 pictures w/ name tag of DEPENDENTS
and PNP PERSONNEL----------------------------------------------------------------- G
REQUIREMENTS FOR CERTIFICATE OF DECLARED
LEGAL BENEFICIARIES (CDLB) FOR ACTIVE MEMBERS
PCpl Randy A Magastino

Republic of the Philippines
NATIONAL POLICE COMMISSION
PHILIPPINE NATIONAL POLICE, NATIONAL CAPITAL REGION POLICE OFFICE
CALOOCAN CITY POLICE STATION
BAGONG BARRIO POLICE SUB-STATION
Malolos Avenue corner G. De Jesus St., Bagong Barrio., Caloocan City
[email protected]/Tel. # 364-6985
MEMORANDUM
FOR : C, SPRMB
SUBJECT : Endorsement for Certificate of Declared Legal Beneficiaries

(CDLB)
DATE : March 3, 2022
1. References:
a. Affidavit of confirmation (Notarized)
b. PSA CENOMAR
c. Certificate of Live Birth; and
d. Birth Certificate of Dependents
2. This pertains to the Memorandum of TDPRM dated May 14, 2020 relative to the
Updating of Legal Beneficiaries (DLB) of Active and Retiring PNP personnel.
3. In this regard, this office humbly requests issuance of Certificate of Declared Legal
Beneficiaries (CDLB) of listed hereunder is the heir of subject PNCO based on documents issued
by the PSA and submitted to this office.
Name Relationship to the PNP Member Date of Birth
Pablo K Magastino Father June 8, 1957
Basilia H Ambojnon Mother October 21, 1960
4. For your consideration.
JULIUS J VILLAFUERTE
Police Lieutenant
OIC, Substation Commander
Name of Accused I. S Number
1. Mark Roland Abrazaldo y Cortez 22B-006620
2.Kenneth Rico y Cinco 21K-04533
3. Ilie Domingo Licanda Jr y Astrero 21J-04291-93
4.Jocelyn Calabroso y Obag 22B-00704
5.Gerald Tamayo y Dela Cruz 21L-05053-54
6. Roberto Añasco y Nalito 22B-00992
7. Erdie Camat y Guinto 22A-00053-55
8. Renato Medina Jr/Francis Felices y 22A-00200
Concepcion
9. Downy Caparas y Castro, et.al 22B-00535
Republic of the Philippines
NATIONAL POLICE COMMISSION
PHILIPPINE NATIONAL POLICE, NATIONAL CAPITAL REGION POLICE OFFICE
CALOOCAN CITY POLICE STATION
BAGONG BARRIO POLICE SUB-STATION
Malolos Avenue corner G. De Jesus St., Bagong Barrio., Caloocan City
[email protected]/Tel. # 364-6985
MEMORANDUM
FOR : C, SPRMB
SUBJECT : Endorsement for Certificate of Declared Legal Beneficiaries

(CDLB)
DATE : April 21, 2022
1. References:
a. Affidavit of confirmation (Notarized)
b. PSA CENOMAR
c. Certificate of Live Birth; and
d. Birth Certificate of Dependents
2. This pertains to the Memorandum of TDPRM dated May 14, 2020 relative to the
Updating of Legal Beneficiaries (DLB) of Active and Retiring PNP personnel.
3. In this regard, this office humbly requests issuance of Certificate of Declared Legal
Beneficiaries (CDLB) of listed hereunder is the heir of subject PNCO based on documents issued
by the PSA and submitted to this office.
Name Relationship Birthday

Grace Chiuco Magsino Wife March 10,1976
Claire Ann Chiuco Magsino Daughter March 06,2004
Jose Miguel Chiuco Magsino Son December 29,2010
4. For your consideration.
JULIUS J VILLAFUERTE
Police Lieutenant
OIC, Substation Commander

CDLB

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Republic of the Philippines)

AFFIANT SAYETH NAUGHT:

SUBSCRIBED AND SWORN to before me this _ day of____in the

COMPUTERIZED Affidavit of Confirmation (NOTARY PUBLIC) -----------------------------------B

ORIGINAL COPY of PSA-issued CENOMAR of PNP personnel with official receipt-------C

ORIGINAL COPY of PSA-issued Birth Certificate of PNP personnel with

ORIGINAL COPY of PSA-issued Birth Certificate of DEPENDENTS with

ORIGINAL COPY of PSA-issued Married Contract of Parents--------------------------------------F

PCpl Randy A Magastino

SUBJECT : Endorsement for Certificate of Declared Legal Beneficiaries

DATE : March 3, 2022

Name Relationship to the PNP Member Date of Birth

Pablo K Magastino Father June 8, 1957

Basilia H Ambojnon Mother October 21, 1960

4. For your consideration.

SUBJECT : Endorsement for Certificate of Declared Legal Beneficiaries

DATE : April 21, 2022

Name Relationship Birthday

4. For your consideration.

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