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.