REPUBLIC OF THE PHILIPPINES)
Alfonso, Cavite ) S.S.
AFFIDAVIT OF LOSS
I, GINA NUESTRO PANGILINAN, of legal age, Filipino, married, residing
at Kaytitinga 2, Alfonso, Cavite after being duly sworn according to law,
hereby depose and say:
1. THAT I, am a holder of a Philippine Passport ID issued by the Department of
Foreign Affairs (DFA), Manila,
2. THAT on April 2024, I lost the said Philippine Passport ID when it fell off
unnoticed from my belongings,
3. That I exerted earnest efforts looking for the said Philippine Passport ID, I
failed to find the same,
4. THAT I am executing this affidavit to inform the proper authorities and to
secure a new Philippine Passport ID in lieu of the one lost;
5. THAT I am executing this affidavit in good faith to attest to the truth of the
foregoing statements and for whatever purposes it may serve.
IN TRUTH WHEREOF, I have hereunto signed my name below, this 6 th of July
2024 at Alfonso, Cavite.
GINA NUESTRO PANGILINAN
Affiant
SUBSCRIBED AND SWORN to before me this 6th of July 2024;
Affiant exhibited to me her SSS ID No. 33-4168861-2.
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