Republic of the Philippines)

City of Cagayan de Oro

) s.s.

AFFIDAVIT OF CONFIRMATION
I, JAHNEL JOY PANTARAS ABAO, Filipino, of legal age,married/single, a
resident of PUROK 1, KISOLON, SUMILAO, BUKIDNON, a bonafide member of the
Philippine National Police with the rank of Police Officer 1 (PO1) and presently assigned
at RPSB 10, after having been duly sworn to in accordance with law, do hereby depose
and say that:
1. Pursuant to this affidavit, I am confirming that the following are my legal
beneficiaries and/or heirs, to wit:
NAME
JOHANN LEVI ABAO

RELATIONSHIP
SON

BIRTHDATE
JANUARY 04, 2014

2. My relationship with person/s whose name/s is/are listed above are borne out
by the fact that I am the lawful spouse, legitimate/illegitimate father/mother,
legitimate/illegitimate son/daughter, or legitimate/illegitimate brother/sister of
the afore-named beneficiary/ies and/or heir/s, and as evidenced by the
attached marriage contract and/or birth certificate/s;
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:

_JAHNEL JOY P. ABAO_

(Name and signature of affiant)
CTC No.
04261182
Issued on: FEBRUARY 22, 2016
Issued at: KISOLON, SUMILAO
SUBSCRIBED AND SWORN to before me this ______ day of __________ at
Cagayan de Oro City, Philippines.

Doc No.______;
Page No._____;Republic of the Philippines)
City of Cagayan de Oro
) s.s.