REPUBLIC OF THE PHILIPPINES )
ZAMBOANGA PENINSULA ) Ss.
CITY OF ISABELA )
x-------------------------------x
AFFIDAVIT OF LOSS
I, JOVITA B. HUGO, a Filipino citizen, of legal age and with residence
address at Lumbang, Isabela City, Zamboanga Peninsula, Philippines, after being
duly sworn to in accordance with the law, hereby depose and state:
1. That I am a member of the Pantawid Program of the Department of Social
Welfare and Development and was issued an ID;
2. However, due to inadvertence, said ID got lost sometime I cannot remember;
3. That despite diligent search and efforts to locate my ID, I could not find
the same such that I now believe that it is now lost beyond recovery;
4. That I execute this affidavit in order to attest to the truthfulness of
foregoing narration of facts and for whatever legal purposes this may
serve better.
IN WITNESS WHEREOF, I have hereunto set my hand this day 4 th day of
February, 2021 at Isabela City, Zamboanga Peninsula, Philippines.
JOVITA B. HUGO
Affiant
SUBSCRIBED AND SWORN to before me this day 4th day of February, 2021
at Isabela City, Zamboanga Peninsula, Philippines.
ATTY. RAUDA I. SALISA
Notary Public until December 31, 2021
Notarial Commission No. 2019-04
Roll of Attorney’s No. 67609
PTR No. 3444960-4/5/2019
IBP No. 06-9846-01-01/17/2019; ZAMBASULTA
Isabela City, Basilan
Doc. No. 182
Page No. 23
Book No. XL
Series of 2021