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Affidavit of Loss

Pablo Jan Marc A. Filio IV files an affidavit of loss for his driver's license that was stolen on January 25, 2017 when he was robbed at the corner of Taft Avenue and Nakpil Street in Manila. His bag, wallet, and driver's license were inside when they were stolen by force. Despite filing a police report and checking with the barangay, LTO, and police, he was unable to recover or identify the thief. He is submitting this affidavit to support his application for a new driver's license to replace the one that was lost.

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Pablo Jan Marc Filio
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112 views2 pages

Affidavit of Loss

Pablo Jan Marc A. Filio IV files an affidavit of loss for his driver's license that was stolen on January 25, 2017 when he was robbed at the corner of Taft Avenue and Nakpil Street in Manila. His bag, wallet, and driver's license were inside when they were stolen by force. Despite filing a police report and checking with the barangay, LTO, and police, he was unable to recover or identify the thief. He is submitting this affidavit to support his application for a new driver's license to replace the one that was lost.

Uploaded by

Pablo Jan Marc Filio
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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REPUBLIC OF THE PHILIPPINES)

CITY OF MANILA ) S.S.


x----------------------------x

AFFIDAVIT OF LOSS

I, Pablo Jan Marc A. Filio IV, of legal age, Filipino, single, and
residing at 19 Manalo Street Veterans Village Project 7, Quezon City,
after having been duly sworn to in accordance with law, depose and
state THAT:

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


Transportation laws, rules and regulations, and was issued a
corresponding Non-Professional Driver's License with number 999-
100-888-45 which is valid until April 25, 2018;

2. Sometime on January 25, 2017 around 9:00 PM, the said driver's
license was stolen when somebody robbed my bag with force and
stealth while I was crossing at the corner of Taft Avenue and Nakpil
Street on my way to De La Salle University. The lost drivers license
was inside my wallet which was kept inside the bag. Together with the
stolen bag, the wallet and the drivers license were also stolen.

3. Efforts were exerted to locate the said driver's license, but in spite
of diligent search, it could not be found and the same is now beyond
recovery. I tried to run after the robber to get my bag back but with no
avail. The traffic enforcer tried to run after the robber but was able to
escape from them. I went to barangay hall of Barangay 686 to report
the incident. Unfortunately, the (Close Circuit Television) CCTV
Camera installed at corner of Taft Avenue and Nakpil Street was not
functioning during that day when the incident happened. I filed a
barangay blotter report about the robbery incident and also Police
blotter report signed by SPO1 Juan De La Cruz with report No.
5678910. Unfortunately, I was not able to identify the culprit from the
pictures shown by the police officer because I was not able to identify
the robber.

4. Said Driver's License has not been confiscated by the LTO, Police
or other Traffic Enforcers for any traffic violation;

5. 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
Non-Professional Driver's License, in lieu of the one that was lost;

PABLO JAN MARC A. FILIO IV


Affiant

SUBCRIBED AND SWORN TO before me this February 15, 2017 in


Salud and Sales Law Office Manila, Philippines, affiant exhibiting to
me his/her competent evidence of identity by way of Social Security
Service Identification (SSS ID) 0034-0787831-1 issued at SSS
Building East Avenue, Quezon City on March 30, 2006.

Doc. No. _____;


Page No. _____;
Book No. _____;
Series of 2017.

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