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Affidavit of Loss: Driver's License

1) Julius C. Cabilao filed an affidavit of loss for his lost driver's license number G0111001100 which was valid until August 29, 2016. 2) He misplaced his driver's license sometime in an unspecified date and despite diligent search efforts, was unable to find and recover the lost license. 3) The license had also not been confiscated by traffic authorities for any violations. 4) He filed this affidavit to attest to the truth of the loss and support his application for a new driver's license to replace the lost one.

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162 views1 page

Affidavit of Loss: Driver's License

1) Julius C. Cabilao filed an affidavit of loss for his lost driver's license number G0111001100 which was valid until August 29, 2016. 2) He misplaced his driver's license sometime in an unspecified date and despite diligent search efforts, was unable to find and recover the lost license. 3) The license had also not been confiscated by traffic authorities for any violations. 4) He filed this affidavit to attest to the truth of the loss and support his application for a new driver's license to replace the lost one.

Uploaded by

ellen_rama
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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REPUBLIC OF THE PHILIPPINES)

CITY OF CEBU ) S.S.


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

AFFIDAVIT OF LOSS

I, Julius C. Cabilao, of legal age, Filipino, (single/married/widow) and a resident of


Lower Kalunasan, Cebu 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 G0111001100 which is valid until August 29, 2016;

2. Sometime on ____________, said driver's license was misplaced and got lost;

3. Efforts were exerted to locate said driver's license, but in spite of diligent search, it
could not be found and the same is now beyond recovery;

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;

IN WITNESS WHEREOF, I have hereunto set my hand this 30th day of June 2016 in
Cebu City, Philippines.

JULIUS C. CABILAO
Affiant
Community Tax Certificate__________

SUBCRIBED AND SWORN TO before me this ___________________ in


_________________, Philippines, affiant exhibiting to me his/her competent evidence of
identity by way of __________________ issued at ______________ on __________________.

Doc. No. _____;


Page No. _____;
Book No. _____;
Series of 2016.

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