Affidavit of Loss: Jay Christopher Tafalla Luna

The document is an affidavit of loss filed by Jay Christopher Tafalla Luna stating that his Philippine passport was lost in 2014 after accidentally dropping it, despite searching he was unable to find it, and he is filing this affidavit to support his application for a new passport.

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Affidavit of Loss: Jay Christopher Tafalla Luna

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Jeffrey Mojica

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Republic

of the Philippines)
Province of Cavite ) S.S.
Municipality of Alfonso )

AFFIDAVIT OF LOSS
I, JAY CHRISTOPHER TAFALLA LUNA, Filipino, of legal age, with
residence address Marahan I, Alfonso Cavite, after being duly sworn to in accordance
with law, hereby depose and state, That;

1. I am a holder and in possession of Philippine Passport issued by Department of

Foreign Affairs;

2. Sometime in the year 2014 said Philippine Passport was lost for the reason that
I accidentally dropped the same without my knowledge;

3. Despite diligent search and efforts to recover the said Philippine Passport the
same can no longer be located;

4. As such, I am executing this Affidavit of Loss to attest to the truth of the

foregoing and to support the application for the issuance of new one in
lieu of the one which was lost.

IN WITNESS WHEREOF, I have hereunto set my hand this 17th day of July 2018 at
Province of Cavite, Philippines.

JAY CHRISTOPHER TAFALLA LUNA

Affiant

SUBSCRIBED AND SWORN to before me this 17th day of July 2018 at Alfonso,
Cavite. Affiant exhibiting to me his VIN:2101-0086B-C0291JTL10000

WITNESS MY HAND AND SEAL.

Doc. No. 433 ;

Page No. 88 ;
Book No. LXIII ;
Series of 2018.

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Affidavit of Loss: Jay Christopher Tafalla Luna

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Affidavit of Loss: Jay Christopher Tafalla Luna

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Republic

1. I am a holder and in possession of Philippine Passport issued by Department of

4. As such, I am executing this Affidavit of Loss to attest to the truth of the

JAY CHRISTOPHER TAFALLA LUNA

WITNESS MY HAND AND SEAL.

Doc. No. 433 ;

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