Affidavit of No Pending Case

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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 26 th


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 26 th day of August


2016 in Santa Cruz, Laguna.

Doc. No. _____; ATTY. EMMANUEL E. SANDICHO


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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