Affidavit of Legal Beneficiaries Misamen

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REPUBLIC OF THE PHILIPPINES )

MANILA CITY ) S.S.

AFFIDAVIT OF LEGAL BENEFICIARIES

I, JETHER P. MISAMEN, single, of legal age, Filipino and residing at


Bao, Alamada, Cotabato, after having been duly sworn to according to law
hereby depose and state;

1. That I am applying in the Military Service as a trainee in the Philippine;

2. That I was born on January 21, 2002 at Alamada, Cotabato and one of
the children of SPS. RAMON MISAMEN and ELIZABETH MISAMEN;

3. That I have never contracted any marriage in the Philippines or


elsewhere, and I remain SINGLE to this very day and hour;

4. I have no children whether legitimate or illegitimate;

5. Accordingly, I am hereby declaring SPS. RAMON MISAMEN and


ELIZABETH MISAMEN as my legal beneficiaries in all insurance that
will be due to me and in all pertinent documents that will need the
declaration of legal beneficiaries; and;

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


statement above and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 8 th day of


July, 2024 at Manila City, Philippines.

JETHER P. MISAMEN
Affiant

SUBSCRIBE AND SWORN TO before me this 8 th day of July, 2024 at


Manila City, Philippines, and affiant exhibiting to me his/her proof of identity
as above stated.

Doc No. _____;


Page No._____;
Book No.CXLVI;
Series of 2024.

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