You are on page 1of 1

Republic of the Philippines )

Province of Leyte . . . . . . . .) s. s.
Municipality of Palo . . . . . .)
x-----------------------------------x

AFFIDAVIT OF CONFIRMATION

I, Reynaldo Gacus Yanto, 50 years old, Filipino, married, a resident of Katipunan


Street, Brgy. Sulod, Basey, Samar, a bona fide member of the Philippine National
Police with the rank of Police Chief Master Sergeant (PCMS) and presently assigned
at Regional Investigation and Detective Management Division (RIDMD), Police
Regional Office 8, Camp Sec. Ruperto Kangleon, Palo, Leyte, after having been duly
sworn to in accordance with the law, do hereby depose and say that:
1. Pursuant to this affidavit, I am confirming that the following are my legal
beneficiaries and/or heir, to wit:

BENEFICIARIES RELATIONSHIP BIRTHDATE


1. Claire D. Yanto Wife January 22, 1982
2. Clarence D. Yanto Son January 31, 2006
3. Clarisse D. Yanto Daughter March 04, 2007
4. Clarenald D. Yanto Son April 19, 2013

2. My relationship with the persons whose names are listed above are borne by
the fact that I am the lawful spouse and the legitimate father of the afore-named children
as evidenced by the herein attached Advisory on Marriages, Marriage Certificate and
Birth Certificates;

3. I hold myself criminally and administratively liable for perjury and dishonesty
should any statements made herein are inaccurate or later found to be false and against
the law.

AFFIANT SAYETH NAUGHT:

PCMS Reynaldo G Yanto


Affiant

SUBSCRIBED AND SWORN TO before me this _____of


_____________________
at Palo, Leyte, Philippines. Affiant exhibited to me his PNP ID with No.21C0900083
issued at Camp Crame, Quezon City and will expire on May 17, 2024.

Doc. No._____
Page No._____
Book No._____
Series of 2024

You might also like