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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 26th


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 26th day of August


2016 in Santa Cruz, Laguna.

Doc. No. _____; A T T Y. E M M A N U E L E . S A N D I C H O


Page No._____; NOTARY PUBLIC, COMMISSION UNTIL 31 DEC. 2016
Book No._____; NOTARY PUBLIC FOR THE PROVINCE OF LAGUNA
Series of 2016. 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

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