REPUBLIC OF THE PHILIPPINES)

S.S.
CITY OF P A G A D I A N. . . . . . . .)
x- - - - - - - - - - - - - - - - - - - - - - - - -x

CERTIFICATE OF
LEGAL BENEFICIARIES

I, __________________________, of legal age, Filipino, single, and a

resident of _______________________________________________, after
having been duly sworn to in accordance with law, do hereby depose and
say:

That I am an applicant for enlistment with the Armed Forces of the

Philippines and one of the requirement is Certificate of Legal beneficiaries;

That the following are my beneficiaries:

1. ____________________________, my father, Filipino with

residence at ___________________________________________;

2. ____________________________, my mother, Filipino with

residence at ___________________________________________;

That as such beneficiaries they are the ones to be notified in case

anything happens to me and are entitled to all the benefits that may occur as a
result of my enlistment in the Armed Forces of the Philippines;

IN WITNESS WHEREOF, I have hereunto affixed my signature this

________ day of ____________ at Pagadian City, Philippines.

______________________
Affiant
 SUBSCRIBED AND SWORN to before me this ________ day of
_____________, 2014 at Pagadian City, Philippines.
REPUBLIC OF THE PHILIPPINES)
CITY OF P A G A D I A N. . . . . . . .) S.S.
x- - - - - - - - - - - - - - - - - - - - - - - - -x

CERTIFICATE OF
LEGAL BENEFICIARIES

I, CYPER D. BAGUNDOL, of legal age, Filipino, single, and a resident of

Cumarom, Midsalip, Zamboanga del Sur, after having been duly sworn to in
accordance with law, do hereby depose and say:

That I am an applicant for enlistment with the Armed Forces of the

Philippines and one of the requirement is Certificate of Legal beneficiaries;

That the following are my beneficiaries:

3. PEDRO C. BAGUNDOL, my father, Filipino with residence at Cumarom,

Midsalip, Zamboanga del Sur;

4. CEPRIANA D. BAGUNDOL, my mother, Filipino with residence at

Cumarom, Midsalip, Zamboanga del Sur;

That as such beneficiaries they are the ones to be notified in case anything
happens to me and are entitled to all the benefits that may occur as a result of my
enlistment in the Armed Forces of the Philippines;

IN WITNESS WHEREOF, I have hereunto affixed my signature this 13th

day of February, 2020 at Pagadian City, Philippines.
 CYPER D. BAGUNDOL
Affiant

SUBSCRIBED AND SWORN to before me this 13th day of February, 2020

at Pagadian City, Philippines.