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Affidavit of Loss Alcober

Alex M. Alcober filed an affidavit stating that he is a member of PAG-IBIG Fund with contributions paid by his previous employers - North Davao Mining Corporation, Soriano Fruits Corporation, and Sabena Mines. He is requesting to consolidate his contributions so he can avail the Provident Benefits Claim. He executed the affidavit to prove he is a bona fide member of PAG-IBIG Fund with contributions from his past employers that can be verified with PAG-IBIG.

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Don Sumiog
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0% found this document useful (0 votes)
128 views1 page

Affidavit of Loss Alcober

Alex M. Alcober filed an affidavit stating that he is a member of PAG-IBIG Fund with contributions paid by his previous employers - North Davao Mining Corporation, Soriano Fruits Corporation, and Sabena Mines. He is requesting to consolidate his contributions so he can avail the Provident Benefits Claim. He executed the affidavit to prove he is a bona fide member of PAG-IBIG Fund with contributions from his past employers that can be verified with PAG-IBIG.

Uploaded by

Don Sumiog
Copyright
© © All Rights Reserved
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 )

Province of Davao del Norte )s.s.


City of Tagum )

AFFIDAVIT
I, ALEX M. ALCOBER, of legal age, Filipino, married and resident of Purok I,
Nabunturan, Compostela Valley Province, Philippines, after having been duly sworn to
an oath in accordance with law hereby depose and say that:

1. I am a bona fide member of PAG-IBIG Fund;


2. As such, my contribution was paid by my previous employers to wit;

a. North Davao Mining Corporation (Amakan, Maco, Compostela Valley


Province)
b. Soriano Fruits Corporation (Kamuning, Asuncion, Davao del Norte)
c. Sabena Mines (Camanlangan, New Bataan, Compostela Valley
Province)

3. Such actual contribution can be verified to PAG-IBIG through their payment


record system under my name ;
4. At present I am employed at Compostela Valley Province as Asst. Warden;
5. On my desired to avail the Provident Benefits Claim, as such I am requesting
to consolidate my contribution from my previous employers;
6. That I execute this affidavit to prove the truth of the foregoing facts.

IN WITNESS WHEREOF, I set forth my signature this ___________________at


Tagum City, Davao del Norte.

ALEX M. ALCOBER
AFFIANT
_________________

SUBSCRIBED AND SWORN TO BEFORE ME this _______________ at Tagum


City, Davao del Norte, with affiant exhibiting his above indicated Government ID.

Doc. No.: _____;


Page No.:_____;
Book No.:_____;
Series of 2017

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