Affidavit of Confirmation - Arvin Noromor

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Republic of the Philippines)

)
) . . .s.s.
AFFIDAVIT OF CONFIRMATION
I, ARVIN OLALIA NOROMOR, of legal age, Filipino, presently residing at BLK 15, LOT
38, PH-4B, TOWERVILLE, BRGY. MINUYAN PROPER, SAN JOSE DEL MONTE, BULACAN,
a bona fide applicant/member of the Philippine National Police for PATROLMAN and presently
assigned at POLICE REGIONAL OFFICE 3 after having been duty 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/or heirs, to wit:
NAME RELATIONSHIP BIRTHDATE
ISAIAH ELON ABUNDO NOROMOR SON September 06, 2023
2. My relationship with person whose name is listed above is borne out by the fact that I
am the lawful and the legitimate/illegitimate father of the a fore-named child as
evidenced by the attached birth certificates:
3. That all the documents I have attached and submitted to support the updating of my
Declared Legal Beneficiary are original copies obtained from Philippines Statistics
Authority (PSA); and
4. I hold myself criminally and administratively liable for perjury and dishonesty should
any statements made herein are inaccurate or later on found to be false and in violation
of law.

AFFIANT SAYETH NAUGHT:

ARVIN OLAILA NOROMOR


Affiant

SUBSCRIBE AND SWORN to before me this ____ day of _____________


at ________________________ Philippines.

Doc No. _________;


Page No. _________;
Book No. _________;
Series No. _________.

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