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Republic of The Philippines) City of Cebu) S.C

Janeth A. Magalso filed an affidavit of loss stating that she had previously been issued an identification card that she kept in her wallet. She realized it was missing after leaving it on a counter. Despite her efforts, she was unable to locate the lost ID card. She is executing this sworn statement to obtain a replacement identification card.

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370 views1 page

Republic of The Philippines) City of Cebu) S.C

Janeth A. Magalso filed an affidavit of loss stating that she had previously been issued an identification card that she kept in her wallet. She realized it was missing after leaving it on a counter. Despite her efforts, she was unable to locate the lost ID card. She is executing this sworn statement to obtain a replacement identification card.

Uploaded by

judielpareja
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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REPUBLIC OF THE PHILIPPINES ) CITY OF CEBU ) S.c.

AFFIDAVIT OF LOSS I, Janeth A. Magalso, of legal age, single, Filipino and residing Sitio Lupa, Highway Maguikay, Mandaue City, after being sworn to in a ordan e with law, depose and say that! ". I was pre#iously issued an A$%& Identifi ation Card'

(. I used to keep the abo#e)*entioned Identifi ation Card and other i*portant do u*ents in *y wallet' +. ,. find it' -. .he said e#iden e of identity is now beyond re o#ery' and A few days ago, I left the said e#iden e of identity in the ounter' I tried all efforts to lo ate the *ispla ed Identifi ation Card but I was not able to

/. I a* e0e uting this sworn state*ent, as re1uired, to enable *e to obtain a repla e*ent for that lost ard. I& 2I.&3SS 2H343%F, I ha#e hereunto set *y hand this 555 day of 5555555555, (6"+, in the City of 555555555555, 7hilippines.

JA&3.H A. MA8ALS% Affiant JURAT S9:SC4I:3; and S2%4& to before *e, this 555 day of 5555555555, in the City of Cebu o*plainant showing to *e his 555555555555555555 with I; &u*ber 5555555555 issued at 555555555555555555 on 555555555 as his o*petent e#iden e of identity.

NOTARY PUBLIC

;o . &o. 555' 7age &o. 555' :ook &o. 555' Series of (6"+.

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