Affidavit of Loss Student Permit

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 1

REPUBLIC OF THE PHILIPPINES)

CITY OF GENERAL SANTOS ) S.S.


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

AFFIDAVIT OF LOSS

I, MARJUN DE MANUEL, Filipino citizen, of legal age, Filipino, single, resident


at Garcia St., Kios Barangay Labangal, General Santos 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 Student Permit
License sometime in March 2018;

2. Last October 2, 2018, upon checking my wallet I noticed that said


Student Permit License is missing;

3. Despite diligent efforts, I could no longer locate, find or recover the


said Student Permit License, and to the best of the my knowledge, the same is
truly lost;

4. Said Student Permit License was not confiscated by the Land


Transportation Office, Police or other Traffic Enforcers for any traffic violation;
and

5. As such, I am executing this Affidavit of Loss to attest to the truthfulness


of the foregoing facts and to support my application for the issuance of a new
Student Permit License, in lieu of the one that was lost.

IN WITNESS WHEREOF, I have hereunto set my hand on ________________ in


General Santos City, Philippines.

MARJUN DE MANUEL
Affiant

SUBSCRIBED AND SWORN TO before me this ____________________ in


General Santos City, Philippines, affiant exhibiting to me his competent
evidence of identity by way of TIN ID with ID No. 498-375-698 issued at General
Santos City.

Doc. No. ______;


Page No._______;
Book No._______;
Series of 2018.

You might also like