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Republic of the Philippines)

Province of Cagayan
)
Tuguegarao City
) . . . s.s.
AFFIDAVIT OF CONFIRMATION
I, SHIRLEY BIRUNG LOPEZ , a Filipino of legal age, a resident of #15 BASSIG
ST., UGAC SUR, TUGUEGARAO CITY a bona fide member of the Philippine National
Police with the rank of SENIOR POLICE OFFICER 4 and presently assigned at PRO2
after having been duly 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
REY CANAPI LOPEZ
CHRISTIAN PAUL BIRUNG LOPEZ
CLARICE BIRUNG LOPEZ

RELATIONSHIP
HUSBAND
SON
DAUGHTER

BIRTHDATE
May 20, 1973
Aug. 07, 1996
Nov. 12, 2003

2. My relationship with persons whose names are listed above are borne out by the fact
that I am the lawful spouse and the legitimate/illegitimate father/mother of the aforenamed children as evidenced by the attached advisory on marriages, marriage
contract 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 in of law.
AFFIANT SAYETH NAUGHT:
Affiant
Contact No.: 09279100016
SUBSCRIBED AND SWORN to before me this ___________
___________________ at ____________________________ Philippines.
Doc No.__________
Page No._________
Book No._________
Series No.________

Republic of the Philippines)

day

of

Province of Cagayan
Tuguegarao City

)
) . . . s.s.
AFFIDAVIT OF CONFIRMATION

I, REY CANAPI LOPEZ , a Filipino of legal age, a resident of #15 BASSIG ST.,
UGAC SUR, TUGUEGARAO CITY a bona fide member of the Philippine National Police
with the rank of POLICE SENIOR INSPECTOR and presently assigned at PRO2 after
having been duly sworn to in accordance with law, do hereby depose and says that:
4. Pursuant to this affidavit, I am confirming that the following are my legal beneficiaries
and/or heirs, to wit:
NAME
SHIRLEY BIRUNG LOPEZ
CHRISTIAN PAUL BIRUNG LOPEZ
CLARICE BIRUNG LOPEZ

RELATIONSHIP
WIFE
SON
DAUGHTER

BIRTHDATE
Nov. 19, 1971
Aug. 07, 1996
Nov. 12, 2003

5. My relationship with persons whose names are listed above are borne out by the fact
that I am the lawful spouse and the legitimate/illegitimate father/mother of the aforenamed children as evidenced by the attached advisory on marriages, marriage
contract and birth certificates:
6. 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 in of law.
AFFIANT SAYETH NAUGHT:
Affiant
Contact No.: 09771887755
SUBSCRIBED AND SWORN to before me this ___________
___________________ at ____________________________ Philippines.
Doc No.__________
Page No._________
Book No._________
Series No.________

Republic of the Philippines)


Province of Cagayan
)

day

of

Tuguegarao City

) . . . s.s.
AFFIDAVIT OF CONFIRMATION

I, ALEX FRONDA DELOS SANTOS , a Filipino of legal age, a resident of #199


CORTEZ STREET, CENTRO EAST, BALLESTEROS, CAGAYAN a bona fide member of
the Philippine National Police with the rank of POLICE SUPERINTENDENT and presently
assigned at PRO2 after having been duly 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
LYNZEN P DELOS SANTOS
KENNEDY P DELOS SATOS
KAYELYN P DELOS SANTOS

RELATIONSHIP
WIFE
SON
DAUGHTER

BIRTHDATE
October 8, 1975
October 3, 2002
August 20, 2009

2. My relationship with persons whose names are listed above are borne out by the fact
that I am the lawful spouse and the legitimate/illegitimate father/mother of the aforenamed children as evidenced by the attached advisory on marriages, marriage
contract 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 in of law.
AFFIANT SAYETH NAUGHT:
Affiant
Contact No.: 09177107180
SUBSCRIBED AND SWORN to before me this ___________
___________________ at ____________________________ Philippines.
Doc No.__________
Page No._________
Book No._________
Series No.________
Republic of the Philippines)
Province of Cagayan
)
Tuguegarao City
) . . . s.s.

day

of

AFFIDAVIT OF CONFIRMATION
I, LIBORIO PIMENTEL CARABBACAN , a Filipino of legal age, a resident of #31
TAMARAY ST., ATULAYAN, TUGUEGARAO CITY a bona fide member of the Philippine
National Police with the rank of POLICE SENIOR SUPERINTENDENT and presently
assigned at PRO2 after having been duly 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
FLORDELINA GO CARABBACAN
NATASHA GO CARABBACAN
NATALIE GO CARABBACAN

RELATIONSHIP
WIFE
DAUGHTER
DAUGHTER

BIRTHDATE
September 18, 1956
February 10, 1997
February 10, 1997

2. My relationship with persons whose names are listed above are borne out by the fact
that I am the lawful spouse and the legitimate/illegitimate father/mother of the aforenamed children as evidenced by the attached advisory on marriages, marriage
contract 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 in of law.
AFFIANT SAYETH NAUGHT:
Affiant
Contact No.: 09156280055
SUBSCRIBED AND SWORN to before me this ___________
___________________ at ____________________________ Philippines.

Doc No.__________
Page No._________
Book No._________
Series No.________
Republic of the Philippines)
Province of Cagayan
)
Tuguegarao City
) . . . s.s.

day

of

AFFIDAVIT OF CONFIRMATION
I, Joyvi Macababbad Tumanguil , a Filipino of legal age, a resident of Zone 2,
Quibal, Peablanca, Cagayan a bona fide member of the Philippine National Police with
the rank of Police Officer 3 and presently assigned at PRO2 after having been duly
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
Roel Lopez Tumanguil
Reanna Joleen Macababbad Tumanguil

RELATIONSHIP
Husband
Daughter

BIRTHDATE
May 27, 1983
November 14, 2005

2. My relationship with persons whose names are listed above are borne out by the fact
that I am the lawful spouse and the legitimate/illegitimate father/mother of the aforenamed child as evidenced by the attached advisory on marriage, marriage contract
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 in of law.
AFFIANT SAYETH NAUGHT:
Affiant
Contact No.: 09277822416
SUBSCRIBED AND SWORN to before me this ___________
___________________ at ____________________________ Philippines.
Doc No.__________
Page No._________
Book No._________
Series No.________

Republic of the Philippines)


Province of Cagayan
)
Tuguegarao City
) . . . s.s.

day

of

AFFIDAVIT OF CONFIRMATION
I, FRANKLIN MOISES RODRIGEZ MABANAG , a Filipino of legal age, a resident
of #17-D RAMOS ST., CARMEL 3 SUBD., TANDANG SORA, QUEZON CITY a bona
fide member of the Philippine National Police with the rank of POLICE CHIEF
SUPERINTENDENT and presently assigned at PRO2 after having been duly 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
GERALDINE FIGUERAS MABANAG
KEITH GERALD FIGUERAS MABANAG
KARINA GALIL FIGUERAS MABANAG
FRANKLIN KENNETH FIGUERAS
MABANAG JR

RELATIONSHIP
WIFE
SON
DAUGHTER
SON

BIRTHDATE
June 21, 1965
June 23, 1988
February 08, 1990
June 23, 1992

2. My relationship with persons whose names are listed above are borne out by the fact
that I am the lawful spouse and the legitimate/illegitimate father/mother of the aforenamed child as evidenced by the attached advisory on marriages, marriage contract
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 in of law.
AFFIANT SAYETH NAUGHT:
Affiant
Contact No.: 09178413685
SUBSCRIBED AND SWORN to before me this ___________
___________________ at ____________________________ Philippines.
Doc No.__________
Page No._________
Book No._________
Series No.________
Republic of the Philippines)
Province of Cagayan
)
Tuguegarao City
) . . . s.s.

day

of

AFFIDAVIT OF CONFIRMATION
I, Anniefer Hilario Peralta , a Filipino of legal age, a resident of Brgy. Callao Sur,
Lasam, Cagayan a bona fide member of the Philippine National Police with the rank of
Police Officer 3 and presently assigned at PRO2 after having been duly 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
Antonio Dela Cruz Peralta
Pacita Tolentino Hilario

RELATIONSHIP
Father
Mother

BIRTHDATE
December 22, 1948
May 22, 1947

2. My relationship with persons whose names are listed above are borne out by the fact
that I am the legitimate/illegitimate daughter of the afore-named beneficiaries as
evidenced by the attached advisory on certificate of Non- Marriage 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 in of law.
AFFIANT SAYETH NAUGHT:
Affiant
Contact No.: 09264587940
SUBSCRIBED AND SWORN to before me this ___________
___________________ at ____________________________ Philippines.
Doc No.__________
Page No._________
Book No._________
Series No.________

Republic of the Philippines)


Province of Cagayan
)
Tuguegarao City
) . . . s.s.
AFFIDAVIT OF CONFIRMATION

day

of

I, LESTER AHL TAMAYAO CALIMAG , a Filipino of legal age, a resident of #16


MAHARLIKA HIGHWAY, CAMASI, PEABLANCA, CAGAYAN a bona fide member of
the Philippine National Police with the rank of POLICE OFFICER I and presently assigned
at PAMPLONA POLICE STATION after having been duly sworn to in accordance with law,
do hereby depose and says that:
7. Pursuant to this affidavit, I am confirming that the following are my legal beneficiaries
and/or heirs, to wit:
NAME
JUAN FURIGAY CALIMAG
LUZVIMINDA TAMAYAO CALIMAG

RELATIONSHIP
FATHER
MOTHER

BIRTHDATE
Oct. 16, 1946
July 23, 1951

8. My relationship with persons whose names are listed above are borne out by the fact
that I am the legitimate son of the afore-named beneficiaries as evidenced by the
attached advisory on non-marriages, and birth certificates:
9. 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 in of law.
AFFIANT SAYETH NAUGHT:
Affiant
Contact No.: 09067312575
SUBSCRIBED AND SWORN to before me this ___________
___________________ at ____________________________ Philippines.
Doc No.__________
Page No._________
Book No._________
Series No.________

day

of

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