Republic of the Philippines)
_______________________ ) S.S.
AFFIDAVIT OF LOSS
(Globe Sim Card)
I, _____________________________, Filipino, of legal age, single, and
a resident of ___________________________, after being duly sworn in
accordance with law, depose and state:
1. That I am the holder of a Globe Sim Card No. ______________;
2. That around _________________somewhere in Baguio City, I lost my
phone with the said phone number;
3. I executed diligent efforts to locate the same but proves to be futile
and in vain;
4. Hence, the same is deemed lost and at a point beyond recovery;
5. I am executing this affidavit to attest to the foregoing facts and for
any legal purpose it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this
________________ at _________________________.
_____________________________________
Affiant
SUBSCRIBED AND SWORN to before me this _________________ in
______________________, exhibiting her ______________________________,
I certify that I personally examined the affiant and that she voluntarily
executed the foregoing affidavit and understood the contents thereof.
Doc. No.: _____;
Page No.:_____;
Book No.:_____;
Series of 2020.