REPUBLIC OF THE PHILIPPINES )
-------------------------------- ) S. S.
-------------------------------------
AFFIDAVIT OF LOSS
I, LLLLL of legal age, Filipino, married, and a resident of TTTT,
after having been duly sworn to in accordance with law, do hereby
depose and state that:
1. I am a holder of a Philippine National ID;
2. Sometime last month, in January, I noticed that the
abovementioned ID was not in my possession;
3. Despite diligent search and efforts to locate the said ID, I could
not find it such that I now believe that it is lost beyond recovery;
4. I am executing this Affidavit to attest to the truth of the
foregoing and to support my request to have a new Philippine
National ID issued in my name, and for whatever legal purposes
this may serve best.
IN WITNESS WHEREOF, I have hereunto set my hands this
________________, ------------------------ Philippines.
YYYYYYYY
Affiant
Proof of Identification:
I.D. No.:
SUBSCRIBED AND SWORN TO BEFORE ME, this
__________________; affiant exhibited before me the aforementioned
competent proof of identity.
Doc. No. ______;
Page No. ______;
Book No. _____;
Series of 2024.