REPUBLIC OF THE PHILIPPINES)

)
)…s.s.

AFFIDAVIT OF CONFIRMATION

I, _FREDERICK BAON COSISI__, a Filipino of legal age, a resident of _CENTRAL BALLUAY

SABLAN BENGUET_, a bona fide member of Philippine National Police with the position of
__PATROLMAN_ and presently assigned at Information Technology Management Service
(ITMS) after having been duly sworn to in accordance of law, do hereby depose and says that;

1. Pursuant to this affidavit, I am confirming that the name hereunder is my legal

beneficiary and/or heir to wit:

NAME RELATIONSHIP BIRTHDATE

MANUEL CANUTO COSISI FATHER AUGUST 03 1965

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

2. That all the documents I have attached and submitted to support the updating of my
DLB are original copies obtained from the Philippine Statistics Authority; and

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

AFFIANT SAYETH NAUGHT.

____________________
Affiant

Contact No: 09489443349

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

__________________ Philippines.

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