AFFIDAVIT OF CONFIRMATION

I, JERICKSON C SAGAYA., single, Filipino, of legal age, and a residentof Bahay, Sibonga Cebu,
an applicant for the rank of POLICE OFFICER 1 ofthe PHILIPPINE NATIONAL POLICE Police , after having
beenduly 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

Salvador L. Sagaya FATHER March 1,1972

Divina C. Sagaya MOTHER January 27, 1975

2. My relationship with persons whose names are listed above areborne out by the fact that I am their
lawful heir and the legitimate sonof the afore-named persons as evidenced by my birth certificate;3. I
hold myself criminally and administratively liable for perjury anddishonesty should any statements made
herein are inaccurate or laterfound to be false and in of law. AFFIANT SAYETH NAUGHT:

FELIPE A. SARAŇA JR.

Affiant

SUBSCRIBED AND SWORN

to before me this 16

th

day ofMay 2017 at Dumaguete City, Philippines.Doc No. _______Page No. _______Book No.
_______Series No. 2017.