Republic of the Philippines}
Province of Davao del Sur} S.s.
City of Digos }
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AFFIDAVIT OF LOSS
I, CIRILO E. SARDIDO, Filipino, of legal age, single, and a
resident of Cabligan, Matanao, Davao del Sur, Philippines, after being duly
sworn to in accordance with law, hereby depose and state:
That on January 6, 2020 at around 9:00 o’clock in the morning, I went
home after going to Digos Public Market and it was then that I realized that I
have lost my wallet;
That inside the said wallet is my Driver's License, original copy of the
OR/CR of my motor vehicle, PHILHEALTH ID and PAG IBIG identification card
among others;
That despite diligent search and efforts to locate the said wallet,
OR/CR and my identification cards, I could not find them such that I now
believe that they are now lost beyond recovery;
That my 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, new OR/CR and new identification cards, in lieu of the
ones that were lost.
IN WITNESS WHEREOF, I have hereunto set my hand
this_____________at_____________, Philippines.
CIRILO E. SARDIDO
Affiant
SUBSCRIBED AND SWORN TO before me, this
__________________ in the City of Digos, Davao del Sur, Philippines.
Affiant exhibited to me his valid identification with data as above indicated.