Republic of the Philippines……………………..

)
PROVINCE OF NEGROS OCCIDENTAL…….)
BACOLOD CITY……..…………………………..)…s.s.

AFFIDAVIT OF CONFIRMATION

I DIONELO F. CELESTE JR., a Filipino of legal age, a resident of Purok

Balabag Brgy. Granada Bacolod City, Negros Occidental, an applicant for the rank of
PATROL MAN of the PHILIPPINE NATIONAL Police Regional Office 6 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

DIONELO R. CELESTE SR. FATHER May 1, 1965

ADELA F. CELESTE MOTHER October 14, 1967

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 afore-named children as evidenced by the attached
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 on found to be
false and in of law.

AFFIANT SAYETH NAUGHT:

DIONELO F. CELESTE JR.

Affiant

SUBSCRIBE AND SWORN to before me this 25TH day of November, 2019, at

Bacolod City, Negros Occidental, Philippines.
Holder of PRC ID No. 0193234

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