Adverse Claim Proceso Fernandez Marcos

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Republic of the Philippines )

Province of Cagayan )SS


City of Tuguegarao )

AFFIDAVIT OF NON-REVOCABLE RETIREMENT

I, PO2 PROCESO FERNANDEZ MARCOS , with Badge No. 109270, presently


assigned at Gattaran Police Station, Gattaran Cagayan, of legal age, Filipino, and a
resident of Centro Norte Sto. Niño, Cagayan, after having been duly sworn to in
accordance with law do hereby depose and state:

1. That I will be filing my application for Optional Retirement with the PNP
service pursuant to Section 40 of RA 6975;

2. That the effective date of my Optional Retirement is on 31 March 2018;

3. That once the order will be issued in connection with my Optional


Retirement, I will not request nor ask for the revocation of the same;

4. That I am executing this document freely and voluntarily, and to support


the issuance of my Retirement Order.

IN WITNESS WHEREOF, I have hereunto set my hand this 15 th day of


February 2018, in the City of Tuguegarao, Province of Cagayan.

PO2 PROCESO FERNANDEZ MARCOS

SUBSCRIBED AND SWORN to before me this 15th day of February 2018 at


Tuguegarao City, Cagayan. I have ascertained the identity of the affiant through
personal interview and on his PNP ID with no. 17A100557 bearing his picture and
signature.

Doc No. :_______ ATTY. EFREN BUDEK BELENO


Page No. :_______ Cagayan Notary Public Until 12-31-18
Book No. :_______ Commission No. RTC - TUG-2017-17
Series of 2018 Roll of Attorneys No. 57829/2010
I B P No. 758771 / 12 - 27 - 17
P T R No. CGYN 8034001 / 1-03- 18
M C L E No. V-0014392 / 02-12-2016

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