REPUBLIC OF THE PHILIPPINES)
DASMARIÑAS CITY CAVITE) S.S.
AFFIDAVIT OF LOSS
KNOW ALL MEN BY THESE PRESENTS:
I, __Ramon Macaraig_, Filipino of legal age, and with home address at _39 Red Robin
St, Pacita 2 San Pedro, Laguna_ after being sworn in accordance with law, do solemnly affirm and
declare under oath that:
1. That I am currently employed with RMS COLLECT PHILS. INC., an iQor Company, as
the _____________________ in charge with the following duties and responsibilities;
a.
b.
c.
2. That as the authorized representative of RMS COLLECT PHILS. INC., an iQor Company,
I confirm that out of the 451 pcs Badge Access Cards issued by Quantrics, there are a total
of 88 badge access cards that were not returned / lost;
3. That despite diligent efforts to locate the same, the said items are irretrievably lost and can
no longer be found;
4. Wherefore, I am executing this Affidavit of Loss to attest to the truth of the foregoing
statements for whatever lawful purpose it may serve.
I have affixed my signature this ____________________at _____________________,
Philippines.
__Ramon Macaraig_
Affiant
SUBSCRIBED and SWORN TO before me, in the City of Dasmariñas Cavite this
___________________ by _____________________ with ___________________ issued at
_________________ on _____________________.
Signed this ____________________ at _____________________, Cavite, Philippines.
WITNESS MY HAND AND SEAL.