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Affidavit of Confirmation

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Se'f Benitez
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21 views

Affidavit of Confirmation

Uploaded by

Se'f Benitez
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines….

)
City of Iloilo………………...) S.S
x- - - - - - - - - - - - - - - - - - - - -x

AFFIDAVIT OF CONFIRMATION

I, ELEEVER BARRIDO BENITEZ, a Filipino of legal age, a resident of


Marcelo H Del Pilar, Jaro, Iloilo City, a bona fide member of the Philippine National
Police as Non Uniformed Personnel with the rank of Administrative Assistant I
Computer Operator I and presently assigned at Iloilo City Police Station 3/ICPO,
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 BIRTHDATE

Tessa Joy I Benitez Wife February 22, 1991


Psalm Elyza I Benitez Daughter August 29, 2015

2. My relationship with persons whose names are listed above are borne out
by the fact that I am the lawful spouse and the legitimate/illegitimate
father/mother of the afore-named child as evidenced by the attached
marriage certificate and birth certificate:

3. 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 of law.

AFFIANT SAYETH NAUGHT:

ELEEVER B. BENITEZ
Affiant

SUBSCRIBE AND SWORN to before me this ____ day of _____________ at


________________________ Philippines.

Doc No. _________


Page No. _________
Book No. _________
Series No. _________
Republic of the Philippines….)
City of Iloilo………………...) S.S
x- - - - - - - - - - - - - - - - - - - - -x

AFFIDAVIT OF CONFIRMATION

I, Glory Lee Palma Loman, a Filipino of legal age, a resident of Brgy.Lapuz


Norte Iloilo City, a bona fide member of the Philippine National Police with the rank
of Police Officer IIand presently assigned at ICPO/ Iloilo City Police Station 4, 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 BIRTHDATE

Roldan Glenn NabehetLoman Husband March 16, 1989


Nathalia Hope Palma LomanDaughter October 20, 2015
YheshaMhay Palma LomanDaughter August 01, 2017

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

3. 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 of law.

AFFIANT SAYETH NAUGHT:

Glory Lee P. Loman


Affiant

SUBSCRIBE AND SWORN to before me this ____ day of _____________ at


________________________ Philippines.

Doc No. _________


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

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