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