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Republic of the Philippines )

Province of _____________ ) S. S.
Municipality of __________ )
x--------------------------------x
AFFIDAVIT OF LEGAL BENEFICIARY
I, ______________________, of legal age, single, Filipino and a resident of
_____________________________, after having been duly sworn to in accordance with
law, hereby depose and say:
1. That I am applying in the Military Service as trainee in the Philippine Army;
2. That as one of my requirements, I am declaring my parents,
________________________ and _____________________ as my legal
beneficiaries;
3. That I am executing this affidavit to attest to the truth of the foregoing and for
whatever lawful purpose that it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this ______ day of
________________, 2014 at ________________, ________________.

Affiant
SUBSCRIBED AND SWORN to before me this ______
________________, 2014 at ________________, ________________.

Doc. No.
Page No.
Book No.
Series of 2014.

day

of

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