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    Affidavit of Loss - Multiple IDs

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    Gracelyn Enriquez Bellingan
    Catherine Silva executed an Affidavit of Loss to attest that she lost her Driver's License, PhilHealth ID, and SSS ID cards. She owned the IDs and her husband had possession of them during and after her surgery in March 2019. Despite efforts to locate them, she believes the IDs are lost beyond recovery. The affidavit supports her application for new ID cards as the lost ones were not confiscated or used as security for any obligation.

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    Affidavit of Loss - Multiple IDs

    Uploaded by

    Gracelyn Enriquez Bellingan
    15K views1 page
    Catherine Silva executed an Affidavit of Loss to attest that she lost her Driver's License, PhilHealth ID, and SSS ID cards. She owned the IDs and her husband had possession of them during and after her surgery in March 2019. Despite efforts to locate them, she believes the IDs are lost beyond recovery. The affidavit supports her application for new ID cards as the lost ones were not confiscated or used as security for any obligation.

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    Catherine Silva executed an Affidavit of Loss to attest that she lost her Driver's License, PhilHealth ID, and SSS ID cards. She owned the IDs and her husband had possession of them during and after her surgery in March 2019. Despite efforts to locate them, she believes the IDs are lost beyond recovery. The affidavit supports her application for new ID cards as the lost ones were not confiscated or used as security for any obligation.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    15K views1 page

    Affidavit of Loss - Multiple IDs

    Uploaded by

    Gracelyn Enriquez Bellingan
    Catherine Silva executed an Affidavit of Loss to attest that she lost her Driver's License, PhilHealth ID, and SSS ID cards. She owned the IDs and her husband had possession of them during and after her surgery in March 2019. Despite efforts to locate them, she believes the IDs are lost beyond recovery. The affidavit supports her application for new ID cards as the lost ones were not confiscated or used as security for any obligation.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    REPUBLIC OF THE PHILIPPINES )

    Province of Negros Oriental )


    City of Dumaguete )S.S.
    x - - - - - - - - - - - - - - - - - - - - - - - - -x

    AFFIDAVIT OF LOSS

    I, CATHERINE SILVA, of legal age, Filipino, married, and a resident of


    Agan-an, Sibulan, Negros Oriental, after having been sworn in accordance with
    law, hereby deposes and states the following:

    1. That I am the owner of several government issued ID cards namely, my


    current Driver’s License bearing no. G02-07-05392, PhilHealth ID, and
    SSS ID.

    2. That I had head surgery sometime in March 2019.

    3. That during and after my surgery, my husband was in possession of the


    said ID cards and used the same in transactions involving myself.

    4. That somewhere along these transactions, the said ID cards may have
    been left or misplaced.

    5. That I exerted all efforts to locate the same but to no avail, and thus I am of
    the firm belief that they are now lost beyond recovery.

    6. That the said Driver's License has not been confiscated by the LTO, Police
    or other Traffic Enforcers for any traffic violation; neither were the
    PhilHealth ID and SSS ID given as security for any obligation.

    7. 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 card, PhilHealth ID card and SSS ID card.

    IN WITNESS WHEREOF, I have hereunto set my hand this 30th day of


    October 2019 at Dumaguete City, Philippines.

    CATHERINE SILVA
    Affiant
    COMELEC ID VIN4620-0014B-|1479CAS20000

    SUBCRIBED AND SWORN TO before me this 30th day of October 2019


    in Dumaguete City, Philippines, affiant personally known to me to be the person
    who executed and signed this affidavit.

    WITNESS MY HAND AND SEAL.

    Doc. No. _____;


    Page No. _____;
    Book No. _____;
    Series of 2019.

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