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Affidavit of fact
Republic of the Philippines) Santa Cruz, Laguna ) s.s. AFFIDAVIT OF NO PENDING CASE
I, LOUIE ANDAYA RANGASAJO, of legal age, Filipino, married, and a resident of Sitio 2 Brgy. Jasaan, Santa Cruz, Laguna 4009, after having been sworn in accordance with law hereby depose and state, that – 1.
I was born and raised in Santa Cruz, Laguna.
2.
I have no criminal record. I have no pending criminal or civil case filed against me.
3.
I execute this affidavit to attest to the fact that I have no derogatory record whatsoever; to serve as supporting document for my application for active duty at the Philippine Navy; and for any other lawful purpose/s this may serve.
IN WITNESS WHERFORE, I hereto affixed my signature this 26 th day of August 2016 in Santa Cruz, Laguna.
LOUIE ANDAYA RANGASAJO
Affiant SUBSCRIBED AND SWORN to before me by Louie Andaya Rangasajo with United Multi-Purpose I.D. No. CRN 0004-0745094-9 issued at Social Security System (SSS) office in Manila; and NBI Clearance Certificate No. 34715759 issued at NBI Main Office on 28 July 2016. WITNESS MY HAND AND NOTARIAL SEAL this 26 th day of August 2016 in Santa Cruz, Laguna.
Doc. No. _____; Page No._____; Book No._____; Series of 2016.
ATTY. EMMANUEL E. SANDICHO
NOTARY PUBLIC, COMMISSION UNTIL 31 DEC. 2016 NOTARY PUBLIC FOR THE PROVINCE OF LAGUNA PER NOTARIAL COMMISSION SP. PROC. NO. 164(15) IBP O.R. No. 995689, 04 January 2016, Laguna Chapter PTR O.R. No. 2967138, 04 January 2016, Laguna Roll No. 42246, admitted to practice law on 9 May 1997 MCLE Compliance No. V-0015412, dated 9 March 2016
