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Republic of the Philippines ) ) S.S.

Quezon City. Metro Manila )

AFFIDAVIT

I of legalage,_mar ried/single/widow. Filipino with permanent/postal address of _________________________________________________________________________________after  having been duly sworn in accordance with law, do hereby depose and say:

That. I am a registered owner of firearms specif ied as follows:

 Admin Control-No. :Kind :Make :

Caliber :Serial No :

That, I am a ______________________________________________,I and that due to the natur eof my work/job my life has been the subject of several threats, and

That, I am executing this affidavit to support my request f or the approval of my PTCFOR.

That, to attest the truthfulness of the above statements, I hereto affixed my signature this ______day of_______________ , 2010, at Camp Crame, Quezon City.

 ________________________________(Affiant)

SUBSCRIBED AND SWORN TO before me this _________day of ___ _______ , 2010 at CampCrame, Quezon City. Affiant exhibited to me his Community Tax Certificate No. issued at ________ on

 ________ ,

Notary Public

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