Affidavit of Undertaking - Loose Firearm

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REPUBLIC OF THE PHILIPPINES)

IN THE CITY OF I L O I L O ) s.s.


x----------------------------------------x

AFFIDAVIT OF UNDERTAKING
I, CELSO P. CASTIGADOR, of legal age, Filipino, married and a resident of Brgy. Sto.
Nino Sur, Arevalo, Iloilo City, Philippines, after having been duly sworn to in accordance with
law, hereby depose and state:

1.) That I am a registered firearm owner/holder describe below:

Kind Make Caliber Serial No. Expiry date


Pistol Norinco Cal. 9mm 16082369 September
2007

2.) That the above-mentioned firearms is listed in the Firearms and Explosives Office of
the Philippine National Police Headquarters located in Camp Crame, Quezon City,
Metro Manila, Philipppines;

3.) That on May 03, 2012, while I was in my house, I found out that my licensed firearm
which I kept inside my room was missing;

4.) That on May 10, 2012 at 8:10am in the morning, I reported this matter with the Iloilo
City Police Station 6 at Arevalo, Iloilo City and with a blotter report no. 2012-0650;

5.) That despite serious efforts to locate the said licensed firearm, it cannot be found;

6.) That I certify and confirm that the said firearm was neither confiscated, relinquished
in favor of the government or sold to any private individual;

7.) That I am requesting that the said firearm be declared a loose firearm under R.A.
No. 10591 or otherwise known as the “Comprehensive Firearms and Ammunition
Regulation Act” as it was lost/stolen in my possession without my knowledge;

8.) That I am executing this Affidavit of Undertaking to attest to the truth of the foregoing
and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I hereby affixed my signature this____________ at Iloilo City,


Philippines.

CELSO P. CASTIGADOR
(Affiant)
Prof. DL ID# F03-86-025046
Valid Until: Sept. 07, 1964

SUBCRIBED AND SWORN to before me this day of ___________, in the City of Iloilo,
Philippines, affiant having exhibited to me his Competent Proof of Identity as written below his
name and signature.

Doc. No____;
Page No____;
Book No____;
Series of 2021.

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