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Loss AMWSLAI Passbook - Bajenting

Gregorio B. Alimpolos filed an affidavit of loss regarding his lost AMWSLAI passbook with account number 003-10-012969-1. He exerted efforts to find the lost passbook since December 2022 but was unable to locate it. He states that the passbook was not transferred or used as collateral. He executed the affidavit to support his request for a replacement passbook and to attest to the truth of his statements. The affidavit was signed and sworn on April 28, 2023 in Carmen, Bohol, Philippines.

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1K views1 page

Loss AMWSLAI Passbook - Bajenting

Gregorio B. Alimpolos filed an affidavit of loss regarding his lost AMWSLAI passbook with account number 003-10-012969-1. He exerted efforts to find the lost passbook since December 2022 but was unable to locate it. He states that the passbook was not transferred or used as collateral. He executed the affidavit to support his request for a replacement passbook and to attest to the truth of his statements. The affidavit was signed and sworn on April 28, 2023 in Carmen, Bohol, Philippines.

Uploaded by

Kuyz R RL
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines ]

Province of Bohol ]
Municipality of Carmen ] S.S.

AFFIDAVIT OF LOSS
(Re: AMWSLAI PASSBOOK)

I, GREGORIO B. ALIMPOLOS, Filipino, of legal age, married and a resident of


Guadalupe, Carmen, Bohol, Philippines, after being duly sworn in accordance with law, hereby
depose and say:

1. That I am a Passbook with account no. 003-10-012969-1 duly issued by Armed


Forces and Police Savings and Loan Association, INC. (AMWSLAI) Tagbilaran City,
Bohol, Philippines;

2. That said AMWSLAI Passbook got lost last December 2022;

3. That I exerted diligent efforts to find and recover the aforesaid AMWSLAI Passbook,
however, my efforts proved futile as until now, its whereabouts still could not be
ascertained, hence, I considered it to be lost for all intents and purposes;

4. That the said AMWSLAI Passbook was not transferred to any person for
consideration or used as collateral to secure obligations;

5. That I execute this affidavit voluntarily to attest to the truth of the foregoing
statements to support my request for the issuance of another AMWSLAI Passbook in
lieu of the lost one;

6. That further, I execute this affidavit for whatever legal purpose this may serve.

IN WITNESS WHEREOF, I hereunto set my hand this 28th day of April, 2023 at
Carmen, Bohol, Philippines.

GREGORIO B. ALIMPOLOS
Affiant
National ID No. 2810-7250-9358-7527
Issued by the Philippine Statistics Authority (PSA)

SUBSCRIBED AND SWORN TO before me this 28th day of April, 2023 at Carmen,
Bohol, Philippines.

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