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    Dependents Affidavit of Confirmation

    Uploaded by

    Luna Jackie
    This affidavit confirms the legal beneficiaries and heirs of a member of the Philippine National Police. It lists their names, relationships, and birth dates. It also requests to exclude some previously included children from the certificate of legal beneficiaries, since they have reached legal age or started their own families. The affiant takes liability for any inaccurate or false statements made in the affidavit.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Dependents Affidavit of Confirmation

    Uploaded by

    Luna Jackie
    1K views1 page
    This affidavit confirms the legal beneficiaries and heirs of a member of the Philippine National Police. It lists their names, relationships, and birth dates. It also requests to exclude some previously included children from the certificate of legal beneficiaries, since they have reached legal age or started their own families. The affiant takes liability for any inaccurate or false statements made in the affidavit.

    Original Description:

    Affidavit of confirmation

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    This affidavit confirms the legal beneficiaries and heirs of a member of the Philippine National Police. It lists their names, relationships, and birth dates. It also requests to exclude some previously included children from the certificate of legal beneficiaries, since they have reached legal age or started their own families. The affiant takes liability for any inaccurate or false statements made in the affidavit.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    1K views1 page

    Dependents Affidavit of Confirmation

    Uploaded by

    Luna Jackie
    This affidavit confirms the legal beneficiaries and heirs of a member of the Philippine National Police. It lists their names, relationships, and birth dates. It also requests to exclude some previously included children from the certificate of legal beneficiaries, since they have reached legal age or started their own families. The affiant takes liability for any inaccurate or false statements made in the affidavit.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    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
    (PNP) with the rank of _____________ and presently assigned at __________________ 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/ or heirs, to wit:

    NAME RELATIONSHIP BIRTH DATE

    _____________________ ________________ _____________

    _____________________ ________________ _____________

    _____________________ ________________ _____________

    _____________________ ________________ _____________

    2. My relationship with person whose names are listed above are borne out by the fact
    that I am the lawful spouse and the legitimate/illegitimate father of the afore-named children as
    evidenced by the attached advisory on marriages, marriage contract and birth certificates:

    3. That, listed below are my children who were previously included in my Certificate of
    Legal Beneficiaries (CLB) database to which I am requesting for their exclusion from the list of CLB
    for the reason of having their own family and of reaching their legal age to wit:

    NAME RELATIONSHIP BIRTHDATE

    _____________________ ________________ _____________

    _____________________ ________________ _____________

    _____________________ ________________ _____________

    _____________________ ________________ _____________

    4. That, I hold myself criminally and administratively liable for perjury and dishonesty
    should any statements made herein are inaccurate or later found to be false and in 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. _____

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