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Affidavit of Loss for Driver's License

1. Marlon Chino M. Morales filed an Affidavit of Loss stating that his driver's license was misplaced and lost. 2. He exerted efforts to locate the lost license but was unable to find it. 3. He is executing the affidavit to support his application for a new driver's license to replace the lost one.

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Mary Louise
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89 views2 pages

Affidavit of Loss for Driver's License

1. Marlon Chino M. Morales filed an Affidavit of Loss stating that his driver's license was misplaced and lost. 2. He exerted efforts to locate the lost license but was unable to find it. 3. He is executing the affidavit to support his application for a new driver's license to replace the lost one.

Uploaded by

Mary Louise
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 PASIG        ) S.S.

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

  

AFFIDAVIT OF LOSS

 I, MARLON CHINO N. MORALES,  of legal age, Filipino, single and a resident of
Tower 6 18A Forbeswood Heights BGC Taguig City, Philippines, 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)
ProfessionalDriver's License with number E05-99-018101 which is valid until April
9, 2017

2. Sometime on ____________, said driver's license was misplaced and got


lost;

3. Efforts were exerted to locate saiddriver'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 thisAffidavit 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 Mandaluyong City, Metro Manila, Philippines.
MARY GRACE R. LAO

Affiant

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 2017.

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