Republic of the Philippines)

)
CITY MANILA ) …s.s.

AFFIDAVIT OF CONFIRMATION

I, Sonny Boy Calazara Ligsay, a Filipino of legal age, a resident of Blk 4 Lot 34 Lumina
Homes Phase 1, Brgy. San Vicente, Sto. Tomas, Batangas a bona fide member of the Philippine
National Police with the rank of PO3 and presently assigned at MPD, NCRPO 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 is my legal beneficiary

and/or heir, to wit:
NAME RELATIONSHIP BIRTH DATE
Estefania C. Ligsay Mother May 1, 1959
Joshua Aguiluz C. Ligsay Son October 30, 2010
2. My relationship with person whose name is listed above is borne out by the fact that
I am the lawful and legitimate son and father of the afore-named as evidence by the
attached advisory on birth certificates.

3. I hold myself criminally and administratively liable for perjury and dishonesty should
any statements made herein are inaccurate of later found to be false and in law.

AFFIANT SAYETH NAUGHT:

Sonny Boy C. Ligsay

Affiant
Contact No.:____________

SUBSCRIBED AND SWORN to before me this ________ day of ____________________ at

___________________________ Philippines.

Doc No. ___________

Page No. __________
Book No. __________
Series No. _________
 07 DECEMBER 2018

TP WHOMSOEVER THESE PRESENTS MAY COME:

This is to formally authorize BIANCA MARIE S. REALINO to transact/receive my peace of

CENOMAR AND BIRTH CERTIFICATE in my behalf as I am indisposed to personally claim the same
for I am currently of equally important matter.
She has full power and authority to sign any documents prerequisite to carry out such a
purpose.
Along with this letter is my PNP Identification Card for your reference.
Thank you and Mabuhay.

Very truly yours,

MARY KIMBERLY C. QUILLOPE

Contact No.: ______________
Republic of the Philippines)
)
CITY MANILA ) …s.s.

AFFIDAVIT OF CONFIRMATION

I, MARK CHESTER OSORNO MEDINA, a Filipino of legal age, a resident of No. 2 LLANA ST.,
TONDO, MANILA a bona fide member of the Philippine National Police with the rank of P01 and
presently assigned at MPD, NCRPO after having been duly sworn to in accordance with law, do
hereby depose and says that:

3. Pursuant to this affidavit, I am confirming that the following are my legal beneficiaries
and/or heirs, to wit:
NAME RELATIONSHIP BIRTH DATE
Jean Claudin Gonzales Medina Wife May 2, 1993
Anthony Vito Gonzales Medina Son May 2, 2015

4. My relationship with persons whose name are listed above are borne out by the fact
that I am the lawful father of the afore-named children as evidence by the attached
advisory on marriages, marriage certificate and birth certificates.

3. I hold myself criminally and administratively liable for perjury and dishonesty should
any statements made herein are inaccurate of later found to be false and in law.

AFFIANT SAYETH NAUGHT:

MARK CHESTER OSORNO MEDINA

Affiant
Contact No.:__________________

SUBSCRIBED AND SWORN to before me this ________ day of ____________________ at

___________________________ Philippines.

Doc No. ___________

Page No. __________
Book No. __________
Series No. _________
Republic of the Philippines)
)
CITY MANILA ) …s.s.

AFFIDAVIT OF CONFIRMATION

I, REMARK VALENCIA PALACIO, a Filipino of legal age, a resident of No. 790 FULLON ST.,
TONDO, MANILA a bona fide member of the Philippine National Police with the rank of P01 and
presently assigned at MPD, NCRPO 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 is my legal beneficiary

and/or heir, to wit:
NAME RELATIONSHIP BIRTH DATE
BENITO VICOS PALACIO FATHER MAY 06, 1950

2. My relationship with person whose name is listed above is borne out by the fact that
I am the lawful son of the afore-named parent as evidence by the attached birth
certificates.

3. I hold myself criminally and administratively liable for perjury and dishonesty should
any statements made herein are inaccurate of later found to be false and in law.

AFFIANT SAYETH NAUGHT:

REMARK VALENCIA PALACIO

Affiant
Contact No.:_____________

SUBSCRIBED AND SWORN to before me this ________ day of ____________________ at

___________________________ Philippines.

Doc No. ___________

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