REPUBLIC OF THE PHILIPPINES)

)
)…s.s.

AFFIDAVIT OF CONFIRMATION

I, RODNIE CASTILLO MANAOG, a Filipino of legal age, a resident of BRGY BURABOD SAN
ANTONIO NORTHERN SAMAR, 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

RUFFA TAMOYANG MANAOG WIFE OCTOBER 13,1990

My relationship with the person whose name listed above is borne out by the fact that I
am the lawful spouse of the afore-named person as evidence by the attached advisory on
marriage, marriage contract and 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: 09452066435

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

__________________ Philippines.

Doc No. ________

Page No. ________
Book No. ________
Series No. ________