REPUBLIC OF THE PHILIPPINES)

PARAÑAQUE CITY ) S.S.

AFFIDAVIT OF LOSS
I, EUN HEE JEONG, Filipino, of legal age, and resident of #42 Kyoto St., KK
Village, BF Homes, Parañaque City after having been duly sworn to in accordance with law,
hereby depose and state:

1. That I am the holder of a Driver’s License (License No. X01-08-001945) with

OR/CR;

2. That my bag got snatched sometime yesterday (December 12,2024) around 2:00PM
at McDonalds BF Southpark;

3. That my bag contained the following:

- DRIVER’S LICENSE with OR/CR

- P 15,000 IN CASH
- CELLPHONE (SAMSUNG GALAXY ULTRA 21)
- BDO CREDIT CARD
- BDO ATM CARD

4. That I exerted diligent efforts to recover but all my efforts were futile;

5. That I am executing this affidavit to attest to the truth of all my above statements to
report to LTO for its requirements and for any other legal purposes it may serve.

IN WITNESS WHEREOF, I have signed this Affidavit this 13 th day of

December, 2024 at Parañaque City.

EUN HEE JEONG

Affiant

SUBSCRIBED AND SWORN to before me this 13th day of December, 2024 at

Parañaque City, affiant exhibited to me her Korean Passport # M836Q5480.

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REPUBLIC OF THE PHILIPPINES)
PARAÑAQUE CITY ) S.S.

AFFIDAVIT OF LOSS

I, NICO REYES PADILLA, Filipino, of legal age, and resident of 101 M. R. Luna St.,
BF Homes, Parañaque City after having been duly sworn to in accordance with law, hereby
depose and state:

1. That I am a holder of Department of Human Settlements and Urban Development

(DHSUD) ID;

2. That on March 2, 2024 the said ID was misplaced in the office;

3. That I exerted diligent efforts to recover said ID but all my efforts were futile;

4. That I am executing this affidavit to attest to the truth of all my above statements to
report the loss of my DHSUD ID to the Department of Human Settlements and Urban
Development for its replacement/ re-issuance/ renewal and for any other legal
purposes it may serve.

IN WITNESS WHEREOF, I have signed this Affidavit this 19 th day of

June, 2024 at Parañaque City.
 NICO REYES PADILLA

Affiant

SUBSCRIBED AND SWORN to before me this 19th day of June, 2024 at Parañaque
City, affiant exhibited to me his UMID ID CRN-0111-7936960-0.

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REPUBLIC OF THE PHILIPPINES)
PARAÑAQUE CITY ) S.S.

AFFIDAVIT OF LOSS

I, SIMPLICIO JR CARLOS LAZO, Filipino, of legal age, single and resident of 137
Teodoro Evangelista St., BF Homes, Parañaque City after having been duly sworn to in
accordance with law, hereby depose and state:

1.That I am a holder of Driver’s License ID, which I turned-over at the Pres. Avenue, Phase 1,
gate of BF Homes, Parañaque City, upon entrance at the village;

2. That I last saw my driver’s license last October 20,2024 around the Bayanihan area of
Parañaque City;

3.That I am executing this affidavit to attest to the truth of all my above statements to report the
loss of said Driver’s License to the Land Transportation Office (LTO) for its replacement/ re-
issuance and for any other legal purposes it may serve.

IN WITNESS WHEREOF, I have signed this Affidavit this 30 th day of

October, 2024 at Parañaque City.

SIMPLICIO JR CARLOS LAZO

Affiant

SUBSCRIBED AND SWORN to before me this 30th day of October, 2024 at Parañaque
City, Affiant exhibited to me his passport # P3405737A.
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REPUBLIC OF THE PHILIPPINES)

PARAÑAQUE CITY ) S.S.

AFFIDAVIT OF LOSS

I, NENITA MILODA, Filipino, of legal age, single and resident of # 40 Real St.,
Urdaneta Village, Makati City after having been duly sworn to in accordance with law, hereby
depose and state:

1. That I am a holder of Driver’s License ID Card;

;
2. That said Driver’s License ID Card was loss sometime, April 2023;

3. That I exerted diligent efforts to recover said ID but all my efforts were futile;
s
4. That I am executing this affidavit to attest to the truth of all my above statements to
report the loss of my Driver’s License to the Land Transportation Office (LTO) for its
replacement/ re-issuance and for any other legal purposes it may serve.

IN WITNESS WHEREOF, I have signed this Affidavit this 10 th day of

May , 2021 at Parañaque City.

NENITA MILODA
Affiant

SUBSCRIBED AND SWORN to before me this10th day of May, 2021 at

Parañaque City, Affiant exhibited to me her OSCA No. 65-098 issued at Makati City on May 4,
2012.

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REPUBLIC OF THE PHILIPPINES)
PARAÑAQUE CITY ) S.S.

AFFIDAVIT OF LOSS

I, HERMINDA M. JUATAS, Filipino, of legal age, and resident of # 48 A. Chioco St.,

BF Homes, Parañaque City, after having been duly sworn to in accordance with law, hereby
depose and state:

5. That I am the holder of the following:

a) Registered Nurse (RN) PRC ID No. 527305

b) a Chinabank credit card (no record of number), ATM card under S/A No.
3070174316, and C/A Passbook under Acct No. 307-0009410
c) a BPI ATM card with Savings No. 8259134707
d) a Metrobank S/A Passbook under Acct. No. 034-3034372587

6. That said PRC ID, ATM card, Credit card and Passbooks, were kept among my
personal files, but when I was looking for it, I could no longer locate the same despite
diligent efforts exerted;

7. That I am executing this affidavit to attest to the truth of all my above statements to
report the loss of said PRC ID to the Professional Regulations Commission (PRC)
relative to my renewal, and to the bank for replacement/ re-issuance of my ATM
card/s and for any other legal purposes it may serve.

IN WITNESS WHEREOF, I have signed this Affidavit this ___ th day of

January, 2021 at Parañaque City.
 HERMINDA M.
JUATAS
Affiant

SUBSCRIBED AND SWORN to before me this ___th day of January, 2021 at

Parañaque City, Affiant exhibited to me her ID No. Driver’s License ID # N03-90-096903, valid
until 2022/08/23.

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REPUBLIC OF THE PHILIPPINES)

PARAÑAQUE CITY ) S.S.

AFFIDAVIT OF LOSS

I, FRANCIS B. ANDUYON, Filipino, of legal age, married and resident of Block 10 Lot
33 Mercury St., Annex 13 Subd., Brgy. Marcelo Green, Parañaque City, after having been duly
sworn to in accordance with law, hereby depose and state:

8. That I am the lawful owner of a KTM/Duke 390, 2017 model with MV File No.
1301-00001012632, which I purchased from John Kenneth M. Navallo;
 9. That the original copy of its Official Receipt (OR) dated 11/03/2017, was given to
me together with all other original documents, when subject motorcycle was
delivered, after my purchase;

10. That I kept said OR among my personal files at home, but when I was looking for it, I
could n longer locate the same, despite diligent efforts exerted;

11. That I am executing this affidavit to attest to the truth of all my above statements to
report the loss of said Official Receipt (OR) to the Land Transportation Office (LTO)
for its replacement/ re-issuance and transfer of ownership/registration under my name
and for any other legal purposes it may serve.

IN WITNESS WHEREOF, I have signed this Affidavit this 20 th day of

January, 2021 at Parañaque City.

FRANCIS B.
ANDUYON
Affiant

SUBSCRIBED AND SWORN to before me this 20th day of January, 2021 at

Parañaque City, Affiant exhibited to me his DL No. N04-09-010668 valid until 2022/12/12.

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REPUBLIC OF THE PHILIPPINES)

PARAÑAQUE CITY ) S.S.

AFFIDAVIT OF LOSS

I, THOMAS A. HIGA, Filipino, of legal age, married and resident of # 18 Rebecca St.,
BF Homes, Parañaque City, after having been duly sworn to in accordance with law, hereby
depose and state:

12. That I am a holder of Driver’s License ID # N03-90-096903, valid until 2022/08/23;

13. That said Driver’s License ID together with its Official Receipt (O.R.) were kept
inside my wallet, which was misplaced sometime last week;

14. That I exerted diligent efforts to recover said wallet together with all its contents but
all my efforts were futile;

15. That I am executing this affidavit to attest to the truth of all my above statements to
report the loss of my Driver’s License to the Land Transportation Office (LTO) for its
replacement/ re-issuance and for any other legal purposes it may serve.

IN WITNESS WHEREOF, I have signed this Affidavit this 18 th day of

January, 2021 at Parañaque City.

THOMAS A. HIGA
Affiant

SUBSCRIBED AND SWORN to before me this 18th day of January, 2021 at

Parañaque City.

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