Republic of the Philippines )

Province of Kalinga )
City of Tabuk                     )  S.S.

CERTIFICATE OF LEGAL BENEFICIARIES

        I, JUANITO A. LAO-WAG, JR., Filipino, of legal age,

single, residing at Ambato, Legleg, Tinglayan Kalinga, after
having been sworn in accordance with law hereby depose and
state :

1. I am an applicant for a position under the Armed Forces of

the Philippines;

2. It is my childhood ambition to serve my country, specifically

as uniformed personnel of the Armed Forces;

3. I am declaring my father JUANITO N. LAO-WAG and my

mother MARY A. LAO-WAG as my legal beneficiaries;

4. I am now executing this Affidavit for the purpose of

complying with the requirements in connection to my
application with the Armed Forces of the Philippines;

5. I declare that the statements made in this Affidavit are true

and correct and I am willing to bear all the legal
responsibilities arising therefrom;

IN WITNESS WHEREOF, I have hereunto set my hand this

th
7 day of September 2021 at Tabuk City.
 
                  
JUANITO A. LAO-WAG, JR.
Affiant
       TIN: 382-159-475-000

 
          SUBSCRIBED AND SWORN to before me, this 7th day of
September 2021 in Tabuk City, by the affiant exhibiting to me his
TIN Number..

Doc No. 66
Page No. 13
Book No. XIII
Series of 2021