Republic of the Philippines)

)
) . . .s.s.

AFFIDAVIT OF CONFIRMATION

I, RODRIGO MURRO TOMAS JR. , a Filipino of legal age, a resident of

OO21 LT (G) EVERLASTING STREET PUROK 6C LOWER BICUTAN TAGUIG
CITY, a bona fide member of the Philippine National Police with the rank of PO1 and
presently assigned at SPD-NCRPO 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 RELATIONSHIP BIRTHDATE

RODRIGO LAGRIO TOMAS FATHER AUGUST 22, 1955

FE MURRO TOMAS MOTHER FEBRUARY 27, 1965

2. My relationship with persons whose names are listed above are borne out
by the fact that I am their lawful heir and the legitimate son of the afore-
named persons as evidenced by my birth certificate:

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

AFFIANT SAYETH NAUGHT:

RODRIGO MURRO TOMAS JR.

Affiant

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

________________________ Philippines.

Doc No. _________

Page No. _________
Book No. _________
Series No. _________
Republic of the Philippines)
)
) . . .s.s.

AFFIDAVIT OF CONFIRMATION

I, RODRIGO MURRO TOMAS JR. , a Filipino of legal age, a resident of

OO21 LT (G) EVERLASTING STREET PUROK 6C LOWER BICUTAN TAGUIG
CITY, a bona fide member of the Philippine National Police with the rank of PO1 and
presently assigned at SPD-NCRPO 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 RELATIONSHIP BIRTHDATE

RODRIGO LAGRIO TOMAS SR. FATHER AUGUST 22, 1955

FE MURRO TOMAS MOTHER FEBRUARY 27, 1965

2. My relationship with persons whose names are listed above are borne out
by the fact that I am their lawful heir and the legitimate son of the afore-
named persons as evidenced by my birth certificate:

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

AFFIANT SAYETH NAUGHT:

RODRIGO MURRO TOMAS JR.

Affiant

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

________________________ Philippines.

Doc No. _________

Page No. _________
Book No. _________
Series No. _________
 PERTINENT
DOCUMENTS
FOR
201 File

PO1 Tomas, Rodrigo Jr. Murro

SPD-NCRPO 302071