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Affiadvit of Loss

Marry Jane C. Santos has executed an affidavit of loss for her mobile phone, a model HonorX9A 5G, which went missing on January 22, 2025, after she placed it in her handbag while shopping. Despite searching her bag upon returning home, the phone was not found, only its case remained. The affidavit is intended to report the loss to Globe Telecommunication Company.

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0% found this document useful (0 votes)
13 views1 page

Affiadvit of Loss

Marry Jane C. Santos has executed an affidavit of loss for her mobile phone, a model HonorX9A 5G, which went missing on January 22, 2025, after she placed it in her handbag while shopping. Despite searching her bag upon returning home, the phone was not found, only its case remained. The affidavit is intended to report the loss to Globe Telecommunication Company.

Uploaded by

abieramariel81
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)

Castillejos, Zambales ) S.S

AFFIDAVIT OF LOSS

I, Marry Jane C. Santos, of legal age, single/married and residing at 662B, Amapola
St., Sta. Rita, Olongapo City after having been duly sworn to according to law hereby depose
and state:

1. That I am the owner of a Mobile Phone model HonorX9A 5G;


2. That on the 22nd of January, 2025 my said Mobile Phone was placed inside my
handbag as I was buying grocery at Olongapo Public Market (New).
3. That as I reached home that the same day, I was shocked as it was not there
anymore;
4. That after diligent search inside my bag, my said Mobile Phone was nowhere to
be found, instead merely my phone case was there.
5. That I am executing this affidavit in order to attest to the truth of the foregoing
circumstances and for the purpose of reporting the loss to the Globe
Telecommunication Company.

IN WITNESS WHEREOF, I have hereunto set my hand this ___ day of ________________ at
the City of Olongapo.

MARRY JANE C. SANTOS


Affiant

SUBSCRIBE AND SWORN to before me this ____ day of ___________________, 2025,


affiant exhibited a competent proof of their identity:

Government Issued I.D. Valid Until


____________________ _____________________ _________________
____________________ _____________________ _________________

Notary Public

Doc No. __________


Page No. _________
Book No. _________
Series of 2025.

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