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Affidavit of Loss

Sung Egijeie A. Fabre executed an affidavit of loss stating that (1) he was the lawful owner of an identification data card issued by the Philippine Drug Enforcement Agency, (2) the identification data card was in his possession until he discovered it was missing, and (3) despite diligent efforts to locate it, the identification data card remains lost and unrecoverable.
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0% found this document useful (0 votes)
137 views1 page

Affidavit of Loss

Sung Egijeie A. Fabre executed an affidavit of loss stating that (1) he was the lawful owner of an identification data card issued by the Philippine Drug Enforcement Agency, (2) the identification data card was in his possession until he discovered it was missing, and (3) despite diligent efforts to locate it, the identification data card remains lost and unrecoverable.
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Republic of the Philippines)

City of Cagayan de Oro

) S.S.
AFFIDAVIT OF LOSS

I, SUNG EGIEJIE A. FABRE, Filipino, 35 years old, married, and a resident of


Cogon, Balingasag, Misamis Oriental, after having been sworn to an oath in accordance
with law, do hereby depose and say:
1. That I am the lawful owner / holder of the Identification Data Card duly issued by
the Philippine Drug Enforcement Agency on;
2. That the above-mentioned Identification Data Card was in my possession until I
discovered that the same is missing;
3. That diligent and earnest efforts to locate the same proved futile and the said
Identification Data Card is now lost and beyond recovery;
4. That I am executing this affidavit to attest to the truth of the foregoing, for
whatever legal purpose this may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this 22nd day of April
2016 in Cagayan de Oro City, Philippines.

SUNG EGIEJIE A. FABRE


Affiant

SUBSCRIBED AND SWORN to before me this 22nd day of April 2016 in Cagayan
de Oro City, Philippines.

Notary Public

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