Republic of the Philippines)

)
)...s.s.

AFFIDAVIT OF CONFIRMATION

I, LEONARD PATRICK REYES TABERDO, a Filipino of legal age, a resident of 1216

NEW YORK ST. VILLA AGUILA SUBD. MALIWALO, TARLAC CITY, a bona fide member of
the Philippine National Police with the rank of Patrolman and presently assigned at
PAMPANGA PPO – ARAYAT MPS 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 beneficiary/ies
and/or heir/s, to wit:

NAME RELATIONSHIP BIRTHDATE

Jeshua Christoff Leonico Aglam Son September 15, 2020

Taberdo

2. My relationship with person/s whose name/s is/are listed above is/are borne out by the fact
that I am the lawful child of the afore-mentioned parent/s as evidenced by the attached
CENOMAR and Birth Certificate/s;

3. That all the documents I have attached and submitted to support the updating of my
Declared Legal Beneficiary/ies are original copies obtained from Philippine Statistic
Authority (PSA); and

4. I hold myself criminally and administratively liable for perjury and dishonesty should any
statements made herein/documents submitted herewith are inaccurate or later found to be
false and in violation of law.

AFFIANT SAYETH NAUGHT:

Leonard Patrick R Taberdo

Affiant
Contact No. 09061892537

SUBSCRIBED AND SWORN to before me this ___________ day of ________________ at

___________________________________, Philippines

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