February 01, 2020

TO WHOM IT MAY CONCERN;

I,PCplDarrel SotilloTubac, 27 years old, married, a resident of Tapon Norte, San

Jose, Negros Orientaland a bonafide member of the Philippine National Police and presently
assigned at Cebu Police Provincial Office / Tourist Police Unit would like to request your
good office to change my civilstatus fromSINGLE to MARRIED on all my records in the
PNP.

I am married to SHEILA MARIZ RESIT QUISEL on June 29, 2019. Attached herewith
is the marriage certificate issued by the Philippine Statistics Authority (PSA) for your
reference.

Further request your favorable approval.

Thank you very much and more power.

Sincerely yours;

Darrel SotilloTubac
Police Corporal
 Republic of the Philippines
NATIONAL POLICE COMMISSION
PHILIPPINE NATIONAL POLICE, POLICE REGIONAL OFFICE 7
CEBU POLICE PROVINCIAL OFFICE
TOURIST POLICE UNIT
Barangay Liloan, Santander, Cebu

MEMORANDUM

FOR : Provincial Director

(Attn: Chief, Admin Branch)

FROM : Chief, Tourist Police Unit

SUBJECT : Change of Civil Status

DATE : February 01, 2020

1. Respectfully endorse to your good office the documents for change of Civil
Status from Single to Married of Police Corporal Darrel SotilloTubac.

2. For your approval.

ROSEMARIE M ACUPINPIN
Police Major
Republic of the Philippines )
Province of Cebu ) s.s.
City of Toledo )
x-----------------------------------------------x

AFFIDAVIT OF CONFIRMATION

I, CHRISTOPHER DUCAY SULLANO, a Filipino, of legal age, a resident of Brgy.

Bunga, Toledo City, Cebu a bona fide member of the Philippine National Police with the rank
of Police Corporal and presently assigned at Cebu Police Provincial Office / Tourist Police
Unit, Liloan, Santander, Cebu 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 BIRTH DATE

MIRASOL ALLEGO SULLANO Wife MARCH 5, 1979

FITZMYER CHRIS ALLEGO SULLANO Son MAY 12, 2003
RENZ CHRISTIAN ALLEGO SULLANO Son AUGUST 21, 2008

2. My relationship with the persons whose names are listed above are borne out by
the fact that I am the lawful spouse and Father of the afore-named child and wife as
evidenced by the attached advisory on marriages, marriage contract and birth certificates.

3. That all documents I have attached and submitted to support the updating of my
Declared Legal Beneficiaries(DLB) are original copies obtained from Philippine 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:

CHRISTOPHER DUCAY SULLANO

Affiant
PNP Identification No. 18E210186
Contact No. 09977038319

SUBSCRIBED AND SWORN to before me this ________day of _____________________at

__________________________Philippines.

Doc. No._______;
Page No.______;
Book No.______;
Series of ______.
Republic of the Philippines )
Province of Negros Oriental ) s.s.
City of Dumaguete )
x-----------------------------------------------x

AFFIDAVIT OF LOSS

I, SHEILA MARIZ QUISEL TUBAC, a Filipino of legal age, married, and a resident of
with postal address at Tapon Norte, San Jose, Negros Oriental, Philippines, after having
been duly sworn to in accordance with law, do hereby depose and state:

1. That having satisfied the requirements of the different government office, I was
issued identification cards for my Philippine Health Insurance Corporation, and LTO Driver’s
License;

2. That having also satisfied the requirements of RCBC, BDO, and PNB, I was issued
a RCBC ATM Card, a BDO ATM Card, and a PNB ATM Card;

3. To my surprise, I discovered last February 24, 2020 that the said Identification
Cards could not be found;

4. That all efforts to find the same proved unrewarding, it is now safe to conclude that
recovery of the same is an impossibility;

5. That I am executing this affidavit to establish the loss and for the issuance of new
identification cards;

6. That this affidavit is further executed for whatever legal purpose this may serve
best.

IN WITNESS WHEREOF, I have hereunto set my hand this __________________at

Dumaguete City, Negros Oriental, Philippines.

SHEILA MARIZ Q. TUBAC

Affiant

SUBSCRIBED AND SWORNTO before me on the date and place first above written.

Doc. No._______;
Page No.______;
Book No.______;
Series of ______.