Republic of the Philippines)

Province of Southern Leyte…) S.S

City of Maasin)

SWORN AFFIDAVIT

I, BRIAN M. ACUÑA, Filipino, of legal age, married and a resident of Mantahan,

Maasin City, Southern Leyte, Philippines, after having been duly sworn to in
accordance with law, do hereby depose and state;

1. That I am a bona fide member of the Bureau of Fire Protection (BFP),

currently assigned at BFP-Maasin City Station, Maasin City, Southern Leyte;

2. That I have no pending administrative or criminal case;

3. That I am executing this affidavit to attest to the veracity of the foregoing

facts and for any legal purpose this may serve thereby.

IN WITNESS WHEREOF, I have hereunto affixed my signature this

______________ at Maasin City, Southern Leyte, Philippines.

BRIAN M. ACUÑA
AFFIANT

SUBSCRIBED AND SWORN TO before me this _______________ at Maasin City,

Southern Leyte, Philippines.

Doc. No. ____

Page No. ____
Book No. ____
Series of 2017