REPUBLIC OF THE PHILIPPINES )
PROVINCE OF __________ ) SS.
AFFIDAVIT OF LOSS
I,____________., Filipino, of legal age, single, and a resident of _____________,
after having been duly sworn in accordance with law, hereby depose and say:
1. That I was issued a Postal Identification Card;
2. That I placed said Identification Card in my wallet for safekeeping;
3. That on October 5, 2022, when I went to ______________, I inadvertently
dropped my wallet along the way. Despite diligent search and efforts to locate
said wallet, I could not find it. Hence, I deemed it lost and beyond recovery;
4. That I am executing this affidavit to request for the replacement of said
Identification Card;
5. Further, I am executing this affidavit to attest to the truth of the foregoing
and for all legal intents and purposes it may serve.
IN WITNESS WHEREOF, I have hereunto affixed my signature this 10th day of
October 2022 at ______________, Philippines.
___________________
Affiant
SUBSCRIBED AND SWORN TO before me, a notary public in and for Banaue,
Ifugao this 10th day of October 2022. The affiant personally signed the foregoing
instrument before me and avowed under penalty of law to the whole truth of the
contents of said instrument.
Doc. No. ____;
Page
[Link].
No. ____;
___
Book
Page No.____;
No. ___;
Series of 2022.
Book No. ____
Series of 2022.