Republic of the Philippines }}

City of Taguig }}
x-------------------------------------------------x

AFFIDAVIT OF CONFIRMATION
I, Joey Bendo Bisayas, a Filipino of legal age, a resident of 092 Narvaez Gen
Emilio Aguinaldo, Cavite, a bonafide member of the Philippine National Police with the
rank of Police Officer 3 and presently assigned at ORESPO/NCRPO after having been
duly sworn to in accordance with law, do hereby depose and says that:
1. Pursuant to this affidavit, i am comfirming that the person/s below is my legal
beneficiary and/ or heir, to wit:

NAME RELATIONSHIP BIRTHDATE

Rhein Andrew A Bisayas Son December 22, 2005
Jeanna Andrea L Bisayas Daughter September 30, 2009
Jeanne Andariel L Bisayas Son May 8, 2006

2. My relationship with person/s whose name listed above is borne out by the fact
that I am the lawful spouse of the father/mother of the above-named children as
evidenced by the attached advisory on marriages,marriage contract and birth certificates;

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

4. 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 FURTHER SAYETH NAUGHT:

P03 Joey Bendo Bisayas

Affiant

SUBSCRIBED AND SWORN TO before me this __________________ day of

________________ at _______________________________.

Doc. No._____________
Page No.____________
Book No.____________
Series No.____________
Republic of the Philippines }}
City of Taguig }}
x-------------------------------------------------x

AFFIDAVIT OF CONFIRMATION
I, Simeon Dimaala Suan, a Filipino of legal age, a resident of No. 317-B ML
Quezon Street Lower Bicutan Taguig City, a bonafide member of the Philippine
National Police with the rank of Police Officer 3 and presently assigned at
ORESPO/NCRPO after having been duly sworn to in accordance with law, do hereby
depose and says that:

1. Pursuant to this affidavit, i am comfirming that the person/s below is my legal

beneficiary and/ or heir, to wit:

NAME RELATIONSHIP BIRTHDATE

Cere Dimaala Suan Mother September 30, 1988
Fionna Nichole F Mendoza Daughter August 26, 2006
Francis nicolas F Mendoza Son December 27, 2014

2. My relationship with person/s whose name listed above is borne out by the fact
that I am the lawful spouse of the father/mother of the above-named children as
evidenced by the attached advisory on marriages,marriage contract and birth certificates;

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

4. 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 FURTHER SAYETH NAUGHT:

P03 Melvin Jesus S Mendoza

Affiant

SUBSCRIBED AND SWORN TO before me this __________________ day of

________________ at _______________________________.

Doc. No._____________
Page No.____________
Book No.____________
Series No.____________
Republic of the Philippines }}
City of Taguig }}
x-------------------------------------------------x
 AFFIDAVIT OF CONFIRMATION
I, Niña Clarizza Sison Balaoro, a Filipino of legal age, a resident of No. 55 MH
Del Pilar Street Mabolo, Valenzuela City a bonafide member of the Philippine National
Police with the rank of Police Officer 3 and presently assigned at ORESPO/NCRPO after
having been duly sworn to in accordance with law, do hereby depose and says that:

1. Pursuant to this affidavit, i am comfirming that the person/s below is my legal

beneficiary and/ or heir, to wit:

NAME RELATIONSHIP BIRTHDATE

Romarico O Balaoro Husband January 25, 1986
Rica Immanuel S Balaoro Daughter January 05, 2017

2. My relationship with person/s whose name listed above is borne out by the fact
that I am the lawful spouse of the father/mother of the above-named children as
evidenced by the attached advisory on marriages,marriage contract and birth certificates;

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

4. 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 FURTHER SAYETH NAUGHT:

P02 Niña Clarizza S Balaoro

Affiant

SUBSCRIBED AND SWORN TO before me this __________________ day of

________________ at _______________________________.

Doc. No._____________
Page No.____________
Book No.____________
Series No.____________
Republic of the Philippines }}
City of Taguig }}
x-------------------------------------------------x

AFFIDAVIT OF CONFIRMATION
I, Marvin Ceñido Peralta, a Filipino of legal age, a resident of No.175 Dr. Pilapil
St. San Miguel, Pasig City, a bonafide member of the Philippine National Police with the
rank of Police Officer 3 and presently assigned at ORESPO/NCRPO after having been
duly sworn to in accordance with law, do hereby depose and says that:

1. Pursuant to this affidavit, i am comfirming that the person/s below is my legal

beneficiary and/ or heir, to wit:

NAME RELATIONSHIP BIRTHDATE

Ella Vanessa E Peralta Wife March 17, 1983
Mariella Cassandra E Peralta Daughter December 20, 2009

2. My relationship with person/s whose name listed above is borne out by the fact
that I am the lawful spouse of the father/mother of the above-named children as
evidenced by the attached advisory on marriages,marriage contract and birth certificates;

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

4. 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 FURTHER SAYETH NAUGHT:

P03 Marvin C Peralta

Affiant

SUBSCRIBED AND SWORN TO before me this __________________ day of

________________ at _______________________________.

Doc. No._____________
Page No.____________
Book No.____________
Series No.____________

Republic of the Philippines }}

City of Taguig }}
x-------------------------------------------------x

AFFIDAVIT OF CONFIRMATION
 I, Delia Bilog Langpawen , single, a Filipino of legal age, a resident of No. 21 (C) Road 2,
Purok6B, Lower Bicutan, Taguig City, a bonafide member of the Philippine National Police with
the rank of Police Officer 2 and presently assigned at ORESPO, NCRPO after having been duly
sworn to in accordance with law, do hereby depose and says that:
1. Pursuant to this affidavit, i am comfirming that the person/s below is my legal
beneficiary and/ or heir, to wit:
NAME RELATIONSHIP BIRTHDATE
Inez Bilog Langpawen Mother September 1, 1950

2. My relationship with person/s whose name listed above is borne out by the fact that i
am the lawful heir and the legitimate/illegitimate son/daughter 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.
AFFAINT FURTHER SAYETH NAUGHT:

PO2 Delia B Langpawen

Affiant

SUBSCRIBED AND SWORN TO before me this __________________ day of

________________ at _______________________________.

Doc. No._____________
Page No.____________
Book No.____________
Series No.____________

Republic of the Philippines }}

City of Taguig }}
x-------------------------------------------------x

AFFIDAVIT OF CONFIRMATION
 I, Caren Villastique Baltero , single, a Filipino of legal age, a resident of No. 21 (A) Road
2, Purok6B, Lower Bicutan, Taguig City, a bonafide member of the Philippine National Police with
the rank of Police Officer 2 and presently assigned at ORESPO, NCRPO after having been duly
sworn to in accordance with law, do hereby depose and says that:
1. Pursuant to this affidavit, i am comfirming that the person/s below is my legal
beneficiary and/ or heir, to wit:
NAME RELATIONSHIP BIRTHDATE
Felino Gose Baltero Father May 02, 1956
Ligaya Villastique Baltero Mother September 25, 1958

2. My relationship with person/s whose name listed above is bornE out by the fact that i
am the lawful heir and the legitimate/illegitimate son/daughter 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.
AFFAINT FURTHER SAYETH NAUGHT:

PO2 Caren V Baltero

Affiant

SUBSCRIBED AND SWORN TO before me this __________________ day of

________________ at _______________________________.

Doc. No._____________
Page No.____________
Book No.____________
Series No.____________

Republic of the Philippines }}

City of Taguig }}
x-------------------------------------------------x

AFFIDAVIT OF CONFIRMATION
 I, Elvin Espadon Enarne a Filipino of legal age, a resident of 653 Valentine
Street Group 3 Palar Village Brgy. 31 Southside Makati City, a bonafide member of
the Philippine National Police with the rank of Senior Police Officer 1 and presently
assigned at ORESPO/NCRPO after having been duly sworn to in accordance with law,
do hereby depose and says that:

1. Pursuant to this affidavit, i am comfirming that the person/s below is my legal

beneficiary and/ or heir, to wit:

NAME RELATIONSHIP BIRTHDATE

Ma Teresa Lazarte Enarne Wife October 15, 1982

2. My relationship with person/s whose name listed above is borne out by the fact
that I am the lawful spouse of the above-named as evidence by the attached marriage
contract;

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 FURTHER SAYETH NAUGHT:

SP01 Elvin Espadon Enarne

Affiant

SUBSCRIBED AND SWORN TO before me this __________________ day of

________________ at _______________________________.

Doc. No._____________
Page No.____________
Book No.____________
Series No.____________