Republic of the Philippines..

)
In the City of Pagadian)s.s.
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AFFIDAVIT OF ACKNOWLEDGMENT
OF DEPENDENTS
I, PO1 VENNIS O. OTCHIA, Filipino, of legal age, married, and a resident of
Poblacion Bonifacio, Misamis Occidental, after having been duly sworn to in accordance with
law, hereby depose and say, that:
1.

I am a member of the Philippine National Police (PNP) currently assigned at the

Provincial Public Safety Company (PPSC), Josefina, Zamboanga del Sur;

2.

I am married to SARVINA L. OTCHIA, having entered into marriage on June 15, 2013

and my son CLARENCE L. OTCHIA was born on October 13, 2014;

3.

I acknowledge them to be my true, lawful and only dependents.

4.

I am executing this affidavit to attest to the truth of the foregoing facts and for whatever

legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this __th day of May
2016, at Pagadian City, Philippines.

PO1 VENNIS O. OTCHIA

Affiant

SUBSCRIBED AND SWORN TO before me this __ day of May 2016 at Pagadian

City, Philippines.

CERTIFICATION
I HEREBY CERTIFY THAT I personally examined the above-named affiant,
that the foregoing affidavit was read and translated before him/her in the language
which he/she understands, and that I am personally satisfied that he voluntarily
executed and understood the foregoing affidavit.