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Affidavit of Loss

This document is an Affidavit of Loss for a driver's license in the Republic of the Philippines. The affiant states that their driver's license was lost despite diligent efforts to locate it and confirms it has not been confiscated for any violations. The affidavit is executed to support the application for a new driver's license in place of the lost one.

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119 views2 pages

Affidavit of Loss

This document is an Affidavit of Loss for a driver's license in the Republic of the Philippines. The affiant states that their driver's license was lost despite diligent efforts to locate it and confirms it has not been confiscated for any violations. The affidavit is executed to support the application for a new driver's license in place of the lost one.

Uploaded by

Anonymous KZEIDzYrO
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)
CITY OF MAKATI            ) S.S.
x----------------------------x
  

AFFIDAVIT OF LOSS

 I, ___________________, of legal age, Filipino, (single/married/widow)


and a resident of _______________________________, 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 (Non)
Professional Driver's License with number _____________ which is valid
until _____________;

2. Sometime on ____________, 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 (Non)
Professional Driver's License, in lieu of the one that was lost;

IN WITNESS WHEREOF, I have hereunto set my hand


this ___________________ in Makati City, Metro Manila, Philippines.

_________________

Affiant

SSS ID No. _________


 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 2013.

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