REPUBLIC OF THE PHILIPPINES)
MUNICIPALITY OF IBA ) S.S.
PROVINCE OF ZAMBALES )
AFFIDAVIT OF LOSS
I, REGINALD V. ESGUERRA, Filipino, of legal age, single, and
with address at Brgy. Zone IV, Iba, Zambales, being first duly sworn in
accordance with law, depose and state that:
1. I am a registered non-professional driver in Land
Transportation Office with Driver’s License ID;
2. However, last week, I noticed that my Driver’s License, was
missing from my wallet when I checked my belongings;
3. I searched high and low for my Driver’s License but still could
not locate the same;
4. I hereby expressly state that the aforementioned Driver’s
License can now be considered, for all legal intents and
purposes, lost beyond recovery; and
5. I am executing this affidavit to attest to the truth and veracity
of the foregoing facts.
REGINALD V. ESGUERRA
Affiant
SUBSCRIBED AND SWORN to before me this ________________ at
Iba, Zambales. Affiant personally known to me to be the same person
who executed this affidavit.
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2024.