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Affidavit of Loss: ID ID No. Place Issued

This affidavit summarizes the loss of identification cards by an individual. It states that the individual discovered their ID cards were missing from their pouch during field work/travel on February 11, 2020, despite searching diligently. The affidavit is being executed to attest to the truth of the events and to request replacements for the lost IDs. It was signed and notarized on [DATE] in [LOCATION].

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Yen Glino Tavera
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71 views1 page

Affidavit of Loss: ID ID No. Place Issued

This affidavit summarizes the loss of identification cards by an individual. It states that the individual discovered their ID cards were missing from their pouch during field work/travel on February 11, 2020, despite searching diligently. The affidavit is being executed to attest to the truth of the events and to request replacements for the lost IDs. It was signed and notarized on [DATE] in [LOCATION].

Uploaded by

Yen Glino Tavera
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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AFFIDAVIT OF LOSS

I, _____________________________, of legal age, Filipino, residing at


__________________________________________, after having been duly sworn to in
accordance with law, depose and say to wit:

1. That I am holder or owner of the following identification cards:

ID ID No. Place Issued

2. That I used to put said identification cards in my pouch;

3. That sometime on February 11, 2020, during my Field Work/Travel, I discovered that
said identification cards were no longer in my pouch where I used to place it;

4. That despite diligent search and efforts to locate such cards, I could not find it;

5. That I am executing this Affidavit to attest to the truth of the foregoing facts and to request
for a replacement of said identification cards;

Signed this _______ day of February 2020, at ________________________

_______________________
Affiant

SUBSCRIBED AND SWORN to before me this _______ day of ____________, 2020 at


_____________________, Eastern Samar. Affiant exhibited to me his
______________________ as evidence of his identity.

___________________
NOTARY PUBLIC

Doc. No. ______


Page No. ______
Book No. ______
Series of 2020

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