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    Affidavit of Loss

    Uploaded by

    Robert Quiambao
    1) The document is an affidavit of loss filed in the province of Tarlac, Philippines. 2) In it, the affiant states that they lost their Unified Multi-Purpose ID (UMID) issued by the Social Security System (SSS) when they left their wallet in a tricycle on a specific date while traveling home. 3) Despite efforts to find it, the UMID could not be located. The affiant asserts that the ID was not lost due to any legal violation and that the affidavit is being filed voluntarily, without coercion, to confirm the stated facts.

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    Affidavit of Loss

    Uploaded by

    Robert Quiambao
    17 views1 page
    1) The document is an affidavit of loss filed in the province of Tarlac, Philippines. 2) In it, the affiant states that they lost their Unified Multi-Purpose ID (UMID) issued by the Social Security System (SSS) when they left their wallet in a tricycle on a specific date while traveling home. 3) Despite efforts to find it, the UMID could not be located. The affiant asserts that the ID was not lost due to any legal violation and that the affidavit is being filed voluntarily, without coercion, to confirm the stated facts.

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    1) The document is an affidavit of loss filed in the province of Tarlac, Philippines. 2) In it, the affiant states that they lost their Unified Multi-Purpose ID (UMID) issued by the Social Security System (SSS) when they left their wallet in a tricycle on a specific date while traveling home. 3) Despite efforts to find it, the UMID could not be located. The affiant asserts that the ID was not lost due to any legal violation and that the affidavit is being filed voluntarily, without coercion, to confirm the stated facts.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    17 views1 page

    Affidavit of Loss

    Uploaded by

    Robert Quiambao
    1) The document is an affidavit of loss filed in the province of Tarlac, Philippines. 2) In it, the affiant states that they lost their Unified Multi-Purpose ID (UMID) issued by the Social Security System (SSS) when they left their wallet in a tricycle on a specific date while traveling home. 3) Despite efforts to find it, the UMID could not be located. The affiant asserts that the ID was not lost due to any legal violation and that the affidavit is being filed voluntarily, without coercion, to confirm the stated facts.

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    © All Rights Reserved
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    Republic of the Philippines )

    Province of Tarlac ) S. S.

    AFFIDAVIT OF LOSS

    That I, ____________________________, of legal age, Filipino,


    single and a resident of __________________________after having been
    duly sworn to in accordance with law do hereby depose and say:

    That I am a holder/possessor of an Unified Multi-Purpose ID (UMID)


    with _________________________ issued by the Social Security System
    (SSS);

    That on ____________________, I lost my wallet which contained my


    UMID when I was on my way home, probably left in the tricycle;

    That I exerted diligent efforts to locate the same but it proved futile;

    That it was not confiscated for any violation of the law;

    That this affidavit is executed freely and voluntarily without any fraud,
    duress, force and/or intimidation whatsoever but to confirm and affirm the
    aforementioned facts as the basis of any legal intent and purpose it may
    serve;

    IN WITNESS WHEREOF, I have here unto set my hand this


    _______________ day of ____________________ in the
    ____________________, Philippines.

    ___________________________________
    Affiant

    SUBSCRIBED AND SWORN to before me on the date and place first


    above written.

    Doc. No.___
    Page No.___
    Book No. ___
    Series of 2019.

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