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Affidavit of Loss: I, Ali Zafrullah Daud Binudin, of

Ali Zafrullah Daud Binudin filed an affidavit of loss stating that he lost his professional driver's license on June 08, 2019 after misplacing it. Despite searching diligently, he was unable to find the license. He executed the affidavit on June 10, 2019 to support his application for a new driver's license to replace the lost one, and stated that the lost license had not been confiscated by authorities for any traffic violations.

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Lara Michelle Sanday Binudin
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33 views1 page

Affidavit of Loss: I, Ali Zafrullah Daud Binudin, of

Ali Zafrullah Daud Binudin filed an affidavit of loss stating that he lost his professional driver's license on June 08, 2019 after misplacing it. Despite searching diligently, he was unable to find the license. He executed the affidavit on June 10, 2019 to support his application for a new driver's license to replace the lost one, and stated that the lost license had not been confiscated by authorities for any traffic violations.

Uploaded by

Lara Michelle Sanday Binudin
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)

MUNICIPALITY OF PARANG ) S.S.


x----------------------------x

AFFIDAVIT OF LOSS

I, Ali Zafrullah Daud Binudin, of legal age, Filipino,


(single/married/widow) and a resident of Making, Parang, Maguindanao,
after having been duly sworn to in accordance with law, depose and
state THAT:

1. I am a duly-licensed driver in accordance with pertinent Land Transportation


laws, rules and regulations, and was issued a corresponding Professional
Driver's License with number _____________ which is valid until
_____________;

2. Sometime on June 08, 2019, said driver's license was misplaced and got
lost;

3. Efforts were exerted to locate said driver's license, but in spite


of diligent search, it could not be found and the same is now
beyond recovery;

4. Said Driver's License has not been confiscated by the LTO, Police or other
Traffic Enforcers for any traffic violation;

5. As such, I am executing this Affidavit of Loss to attest to the truth of the


foregoing and to support my application for the issuance of a new
Professional Driver's License, in lieu of the one that was lost;

IN WITNESS WHEREOF, I have hereunto set my hand this 10th day


of June, 2019 at Parang, Maguindanao, Philippines.

Ali Zafrulah Daud Binudin


Affiant

SUBCRIBED AND SWORN TO before me this ___________________ in


_________________, Philippines, affiant exhibiting to me his/her competent
evidence of identity by way of __________________ issued at
______________ on __________________.

Doc. No. _____;


Page No. _____;
Book No. _____;
Series of 2019.

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