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Affidavit of Loss - PWD

Marc Laurenze Celis, a Filipino citizen, declares in an Affidavit of Loss that he has lost his PWD ID and has made diligent efforts to recover it without success. He asserts that the loss was not due to his negligence and is executing the affidavit to apply for a replacement. The affidavit is sworn before a notary public on July 3, 2025, in Angeles City, Philippines.

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Marc Celis
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32 views1 page

Affidavit of Loss - PWD

Marc Laurenze Celis, a Filipino citizen, declares in an Affidavit of Loss that he has lost his PWD ID and has made diligent efforts to recover it without success. He asserts that the loss was not due to his negligence and is executing the affidavit to apply for a replacement. The affidavit is sworn before a notary public on July 3, 2025, in Angeles City, Philippines.

Uploaded by

Marc Celis
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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AFFIDAVIT OF LOSS

I, Marc Laurenze Celis, of legal age, Filipino citizen, and resident of 9-1 Don Vicente St., Villa
Dolores Subd., Brgy Sto Domingo, Angeles City, Philippines, after being duly sworn in
accordance with law, hereby depose and state under oath:

1. That I am the lawful owner/holder of the following lost item/document:

• PWD ID with Number 03-5402-000-0001863

2. That the lost item/document was in my possession and custody, and I have exercised due
care and diligence to keep it safe and secure.

3. That I have made a diligent search and inquiry to locate the lost item/document but to no
avail. It is irretrievably lost and cannot be recovered.

4. That the loss of the said item/document was not due to any negligence, willful act, or
omission on my part.

5. That I am executing this Affidavit of Loss to attest to the truth of the foregoing facts and
for the purpose of applying for the issuance of a new/replacement item/document.

IN WITNESS WHEREOF, I have hereunto set my hand this 3rd of July, 2025, in Angeles City
Philippines.

________________________

Marc Laurenze Celis

SUBSCRIBED AND SWORN to before me this 3rd of July, 2025, in Angeles City, Philippines,
affiant exhibiting competent evidence of identity through Driver’s License ID with ID
number C10-111-022717 issued on May 2, 2022.

WITNESS MY HAND AND SEAL.

Notary Public

Doc. No. _____;


Page No. _____;
Book No. _____;
Series of 2025.

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