REPUBLIC OF THE PHILIPPINES

__________________
______________________________
x-----------------------x

)
) S.S.
)

AFFIDAVIT OF BENEFICIARY
I, _________, Filipino, of legal age, and a resident __________________, after
being duly sworn to in accordance with law, hereby depose and state:
That I am the daughter of __________________ and _________________;
That to date, my civil status is single;
That I have not sired any child whomsoever;
That due to the fact that I am still single and have neither child nor any other
dependent, I am instituting my parents _______________ and _____________
to be my beneficiaries for all the benefits I may be entitled to by virtue of my
entry in the AFP;
As such, I am executing this Affidavit to attest to the truth of the foregoing and
for all legal purposes it may serve.
IN WITNESS WHEREOF, I have hereunto
_________________ at _________________, Philippines.

set

my

hand

this

____________________________________
Affiant
SUBSCRIBED AND SWORN to before me, this _________________ at
______________, Philippines.