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Aff of Loss

Atty. Edward Kenneth A. Kung has executed an Affidavit of Loss stating that his Driver's License (No. N03-05-003711) was misplaced and is believed to be lost beyond recovery. He affirms that the license has not been confiscated by any authorities for traffic violations. This affidavit is intended to support his application for a new Driver's License.

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Diana Bicera
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11 views1 page

Aff of Loss

Atty. Edward Kenneth A. Kung has executed an Affidavit of Loss stating that his Driver's License (No. N03-05-003711) was misplaced and is believed to be lost beyond recovery. He affirms that the license has not been confiscated by any authorities for traffic violations. This affidavit is intended to support his application for a new Driver's License.

Uploaded by

Diana Bicera
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)

CITY OF TAGUIG ) S.S.


x---------x

AFFIDAVIT OF LOSS

I, ATTY. EDWARD KENNETH A. KUNG, Filipino, of legal age, single, and


with residence at Unit 5A & B, 2823 Phases Building, Zamora Street, Bgy.
San Roque Pasay City Philippines, after being duly sworn to in accordance
with law, hereby depose and state:

1. That I am a duly-licensed driver in accordance with pertinent Land


Transportation laws, rules and regulations, and was issued a
corresponding Driver's License with number N03-05-003711 which
is valid until 02 January 2022 (Copy of the said License is hereto
attached as Annex “A”);
2. That sometime last week, said Driver's License was misplaced and
got lost.
3. That despite diligent search and efforts to locate my Driver's
License, I could not find the same such that I now believe that it is
now lost beyond recovery; and
4. That said Driver's License has not been confiscated by the LTO,
Police or other Traffic Enforcers for any traffic violation.

As such, I am executing this Affidavit of Loss to attest to the truth of the


foregoing and to support my application for the issuance of a new Driver's
License, in lieu of the one that was lost.

IN WITNESS WHEREOF, I have hereunto set my hand this 26 September


2019 at Taguig City, Philippines.

_____________________________________
ATTY. EDWARD KENNETH A. KUNG
AFFIANT

SUBSCRIBED AND SWORN to before me, this 26th day of September 2019
by the Affiant himself, who exhibited to me his Philippine Passport with
No. EC4453760 issued at DFA Manila Philippines on 21 June 2015.

Notary Public
Doc. No. ______;
Page No. ______;
Book No. ______;
Series of ______;

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