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Republic of the Philippines)

City of Masbate ) S.S


x-----------------------------------x

AFFIDAVIT OF CONFIRMATION

I, CHRISTIAN JOY P ALIBIO a Filipino of legal age, a resident of BRGY.


POBLACION, CAWAYAN, MASBATE CITY a bonafide member of the Philippine
National Police with the rank of PATROLMAN and presently assigned of Masbate
2nd Provincial Mobile Force Company after having been duly sworn to in
accordance with the law, go hereby depose and says that:

1. Pursuant to this affidavit, I am confirming that the name listed below is my


legal and/or heir to wit:

NAME RELATIONSHOP BIRTHDATE


ROWENA SISTER OCTOBER 21, 1973

2. My relationship with the persons whose names are listed above are borne
out by the fact that I am the legitimate son, of the afore-named parent as
evidence by the attached the Birth Certifications;

3. That all documents I have attached and submitted to support the updating
of DLB are original copies obtained from Philippines Statistics Authority;
and

4. I hold myself criminally and administratively liable for perjury and


dishonesty should any statements made herein/documents submitted
herewith are inaccurate or later found to be false and in violation of law.

AFFIANT SAYETH NAUGHT:

CHRISTIAN JOY P ALIBIO


Affiant
Contact No: 09129239970

SUBSCRIBED AND SWORN to before me this _____ day of


_______________at _____________________, Philippines.

Doc. No. ______


Page No. ______
Page._________
Series No. _____

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