Affidavit 1
Affidavit 1
Affidavit 1
1. That, am the surviving father of the late SSgt AIIan R Montejo PN(M)
who died on 17 March 2010 at Basilan Community Hospital, sabela City;
2. That, the deceased was an insured member of the AFP Mutual Benefit
Association, nc., (AFPMBA), and that he-
( ) Did not designate any beneficiaries
(x) Did designate his Beneficiaries AIejandro S Montejo
3. That, to the best of my knowledge, information, and belief, the deceased
did not contract a bigamous marriage nor cohabited with anyone during or prior to
marriage and that he does not have any illegitimate issue;
4. That, to the best of my knowledge, information, and belief, there is no
pending administrative cases or controversy regarding the civil/marital status of the
deceased;
5. That, hold myself criminally and civilly responsible should it turn out later
that there was any misrepresentation on my foregoing statements and further free
AFPMBA from any liability relative thereto;
6. That, am executing this affidavit to attest the truth of the foregoing facts
and for whatever legal purpose this may serve best.
Signed this 01
st
day of July 2011 at Zamboanga City.
AIejandro S Montejo
Affiant
SUBSCRBED AND SWORN to before me this 01
st
day of July 2011 at the City
of Zamboanga. Affiant personally exhibited to me his CTC bearing #
issued on at .