Aff - Loss of Sim Card

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Republic of the Philippines)

Silang, Cavite ) S.S.


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

AFFIDAVIT OF LOSS

I, ANJELIKA AMANTE SAN DIEGO, Filipino, of legal age, single and residing at 3136
Negros St., Timog CAA, Las Piñas City, after having been duly sworn to in accordance with
law do hereby depose and say that:

1. I am a Globe Subscriber with Sim Card bearing number 0977-647-0749 which was
linked to my G-Cash account which was inserted to Oppo A55 (Starrey Black)
cellular phone of my live-in-partner Harry Hwang, Korean citizen;

2. On October 16, 2022, my live-in-partner Harry Hwang went to Mong’s Restaurant


located at By Pass Road Brgy. San Vicente II, Silang, Cavite to have his dinner in
the said place and he brought with him his Oppo A55 (Starrey Black) cellular phone
containing my said Globe SIM Card number 0977-647-0749;

3. However, when he ordered his meals in the counter, he placed his cellular phone in
the counter’s table and he forgot to get the same. He remembered his cellular
phone when he was about to leave the place and he came back to the counter table
of the said restaurant and he asked the person in the cashier if she noticed his
cellular phone but the cashier answered him that she didn’t saw his Oppo A55
(Starrey Black) cellular phone containing my Globe SIM Card bearing number 0977-
647-0749, thus, my live-in-partner Harry Hwang cellular phone containing my Globe
SIM Card bearing number 0977-647-0749 went missing and nowhere to be found
and despite all diligent efforts exerted to locate the same but to no avail;

4. I applied again for my G-Cash account under my Globe SIM Card bearing number
0995-534-9525;

5. Thus, I am requesting to the proper authorities concerned to transfer the remaining


balance of my G-Cash account under my Globe SIM Card number 0977-647-0749
to my new G-Cash Account under my Globe SIM Card number 0995-534-9525;

6. I executed this affidavit to attest to the truth and veracity of the foregoing statements
and for all legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto signed below.

ANJELIKA AMANTE SAN DIEGO


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 19 th day of
October, 2022 personally appeared ANJELIKA AMANTE SAN DIEGO with her Postal ID No.
PRN D84200330660 P issued by Post Office Las Piñas City and valid until 04 November 2023,
who is personally known to me or identified by me through competent evidence of identity as
defined by the Notarial Rules as the person who signs the document and in my presence taken
an oath or affirmation before me as to such document. WITNESS MY HAND AND SEAL ON
THE DATE AND PLACE FIRST ABOVE-WRITTEN.

Doc. No. 79;


Page No. 17; ATTY. ROLANDO G. CAMPOS
Book No. 02; Notary Public
Within and For the Province of Cavite
Series of 2022. Until December 31, 2023/ Roll No. 40052
PTR No. 1907292/02-07-2022/ IMUS CITY
IBP NO. 192169/01-24-2022/ CAVITE
MCLE No. VII—0017221/05-05-2022
Anarna Bldg. No. 4, Madlansacay Street,
Brgy. Poblacion II, Silang, Cavite
Republic of the Philippines)
Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, CEYSILYN BORROMEO DOLENSO, Filipino, of legal age, single and residing


at #11 Barangay Biga I, Silang, Cavite, after having been duly sworn to in accordance
with law do hereby depose and say that:

7. I am a Talk N’ Text Subscriber with Sim Card bearing number 0981-454-


5956 which was linked to my G-Cash account with remaining balance
amounting to Php1,829.00 which was inserted to my Nokia 3310 keypad
cellular phone;

8. Yesterday October 16, 2022, my Nokia 3310 keypad cellular phone


containing my said Talk N’ Text SIM Card number 0981-454-5956 went
missing and nowhere to be found and despite all diligent efforts exerted to
locate the same but to no avail;

9. I applied again for my G-Cash account under my Talk N’ Text SIM Card
bearing number 0948-372-4150;

10. Thus, I am requesting to the proper authorities concerned to transfer the


remaining balance of my G-Cash account under my Talk N’ Text SIM Card
number 0981-454-5956 amounting to Php1,829.00 to my new Talk N’ Text
SIM Card number 0948-372-4150;

11. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto signed below.

CEYSILYN BORROMEO DOLENSO


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 17 th day of
October, 2022 personally appeared CEYSILYN BORROMEO DOLENSO with her
National ID No. 5761-9541-8902-1465 issued on 30 November 2021, who is
personally known to me or identified by me through competent evidence of identity as
defined by the Notarial Rules as the person who signs the document and in my
presence taken an oath or affirmation before me as to such document. WITNESS MY
HAND AND SEAL ON THE DATE AND PLACE FIRST ABOVE-WRITTEN.

Doc. No. ____;


Page No.____; ATTY. ROLANDO G. CAMPOS
Notary Public
Book No.____; Within and For the Province of Cavite
Series of 2022. Until December 31, 2023/ Roll No. 40052
PTR No. 1907292/02-07-2022/ IMUS CITY
IBP NO. 192169/01-24-2022/ CAVITE
MCLE No. VII—0017221/05-05-2022
Anarna Bldg. No. 4, Madlansacay Street,
Brgy. Poblacion II, Silang, Cavite
Republic of the Philippines)
Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, ROGELIO A. SAGA JR., Filipino, of legal age, single and residing 150
Barangay Patutong Malaki North, Tagaytay City, Cavite, after having been duly sworn
to in accordance with law do hereby depose and say that:

12. I am a Globe Subscriber with Sim Card bearing number 0956-524-1334;

13. However, on August 30, 2022, my said SIM Card bearing number 0956-524-
1334 was misplaced and despite all diligent efforts exerted to locate the
same but to no avail;

14. I executed this affidavit to attest to the truth and veracity of the foregoing
statements; to apprise the proper authorities concerned for the loss of my
said SIM Card and to request for the replacement of my said SIM Card with
same number 0956-524-1334 and for all legal intents and purposes this may
serve.

IN WITNESS WHEREOF, I have hereunto signed below.

ROGELIO A. SAGA JR.


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 17 th day of
October, 2022 personally appeared ROGELIO A. SAGA JR. with his UMID CRN-0111-
6643124-0, who is personally known to me or identified by me through competent
evidence of identity as defined by the Notarial Rules as the person who signs the
document and in my presence taken an oath or affirmation before me as to such
document. WITNESS MY HAND AND SEAL ON THE DATE AND PLACE FIRST
ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No.____;
Series of 2022.
Republic of the Philippines)
Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, RENALIE GAY J. HOYLAR, Filipino, of legal age, single and residing at Unit
3, Loyola Apt. 2, Mary Ann Village, Brgy. Poblacion V, Silang, Cavite, after having
been duly sworn to in accordance with law do hereby depose and say that:

15. I am a Globe Subscriber with Sim Card bearing number 0917-524-4564;

16. However, on October 02, 2022, my said SIM Card bearing number 0917-
524-4564 was misplaced and despite all diligent efforts exerted to locate the
same but to no avail;

17. I executed this affidavit to attest to the truth and veracity of the foregoing
statements; to apprise the proper authorities concerned for the loss of my
said SIM Card and to request for the replacement of my said SIM Card with
same number 0917-524-4564 and for all legal intents and purposes this may
serve.

IN WITNESS WHEREOF, I have hereunto signed below.

RENALIE GAY J. HOYLAR


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 17 th day of
October, 2022 personally appeared RENALIE GAY J. HOYLAR with her Driver’s
License ID No. D18-18-000547 issued by LTO and valid until 2032/06/27, who is
personally known to me or identified by me through competent evidence of identity as
defined by the Notarial Rules as the person who signs the document and in my
presence taken an oath or affirmation before me as to such document. WITNESS MY
HAND AND SEAL ON THE DATE AND PLACE FIRST ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No.____;
Series of 2022.
Republic of the Philippines)
Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, NEIL CALLEN Q. MONTOYA, Filipino, of legal age, single and residing at


Ermitanyo St., Barangay Sabutan, Silang, Cavite, after having been duly sworn to in
accordance with law do hereby depose and say that:

18. I am a Globe Subscriber with Sim Card bearing number 0956-631-9817


which was linked to my G-Cash Account;

19. I entrusted my said SIM Card to my live-in-partner Cielo Pareja which was
inserted to her IPhone 11 Pro Max cellular phone;

20. Sometime in March 2022, the IPhone 11 Pro Max cellular phone of my live-
in-partner Cielo Pareja containing my said SIM Card bearing number 0956-
631-9817 was stolen by unidentified culprit and despite all diligent efforts
exerted to locate the same but to no avail;

21. I executed this affidavit to attest to the truth and veracity of the foregoing
statements; to apprise the proper authorities concerned for the loss of my
said SIM Card and to request for its replacement with same SIM Number
bearing 0956-631-9817 and for all legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto signed below.

NEIL CALLEN Q. MONTOYA


Atty. IRINEO A. ANARNA
Affiant
Notary Public for the Province of Cavite
Commission No. TG-20-009, valid until Dec. 31, 2022
th
BEFORE ME, a Notary Public for and in the Province of Cavite,
Roll of Attorneys No. 32080 this 10 day of
October, 2022 personally appeared NEIL CALLENIBPQ.No.MONTOYA 01666/ Lifetimewith Member his Seaferer’s
Identification and Record Book No. C1154517 PTR No. 5498388
issued on May / 1-03-2022
23, 2017 / TMC by Maritime
MCLE No. VII ---- 0003161 / May 15, 2021 / valid until April 14, 2025
Industry Authority and valid until May 21, 2027, who is personally
No. 4 Madlansacay St., Poblacion 2,known
Silang, Cavite to me or
identified by me through competent evidence of identity as defined by the Notarial
Rules as the person who signs the document and in my presence taken an oath or
affirmation before me as to such document. WITNESS MY HAND AND SEAL ON THE
DATE AND PLACE FIRST ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No.____;
Series of 2022.

Republic of the Philippines)


Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT

I, LAVINIA ERIS BASILIO GALPA, Filipino, of legal age, married and residing at
9018 Tibayan St., Purok 3, Barangay Lumil, Silang, Cavite, after having been duly
sworn to in accordance with law do hereby depose and say that:

22. I am a Smart Subscriber with Sim Card bearing number 0969-523-4736


which was linked to my G-Cash account under my maiden name LAVINIA
ERIS BASILIO;

23. However, recently, my said SIM Card number 0969-523-4736 was


deactivated, hence, I was not able to used my G-Cash account in my said
Sim Card;

24. I applied again for my G-Cash account under my Smart SIM Card bearing
number 0943-561-5481;

25. Thus, I am requesting to the proper authorities concerned to transfer the


remaining balance of my G-Cash account under my Smart SIM Card number
0969-523-4736 to my new Smart SIM Card number 0943-561-5481;

26. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto signed below.

LAVINIA ERIS BASILIO GALPA


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this _____ day
of October, 2022 personally appeared LAVINIA ERIS BASILIO GALPA with her
Driver’s License ID No. N50-20-019569 issued by LTO and valid until 2025/09/06, who
is personally known to me or identified by me through competent evidence of identity
as defined by the Notarial Rules as the person who signs the document and in my
presence taken an oath or affirmation before me as to such document. WITNESS MY
HAND AND SEAL ON THE DATE AND PLACE FIRST ABOVE-WRITTEN.
Doc. No. ____;
Page No.____;
Book No.____;
Series of 2022.

Republic of the Philippines)


Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, ROWENA PINEDA MINOR, Filipino, of legal age, single and residing at P.


Montoya St., Barangay San Miguel I, Silang, Cavite, after having been duly sworn to in
accordance with law do hereby depose and say that:

27. I am a Talk N’ Text Subscriber with Sim Card bearing number 0930-213-
5259;

28. However, on September 01, 2022, my said SIM Card bearing number 0930-
213-5259 was misplaced and despite all diligent efforts exerted to locate the
same but to no avail;

29. I executed this affidavit to attest to the truth and veracity of the foregoing
statements; to apprise the proper authorities concerned for the replacement
of my said SIM Card with same number 0930-213-5259 and for all legal
intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto signed below.

ROWENA PINEDA MINOR


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 19 th day of
September, 2022 personally appeared ROWENA PINEDA MINOR with her Voter’s
Certification No. 2004-0083A-A2464RPM20000-4 issued by Comelec Caramoran,
Catanduanes, who is personally known to me or identified by me through competent
evidence of identity as defined by the Notarial Rules as the person who signs the
document and in my presence taken an oath or affirmation before me as to such
document. WITNESS MY HAND AND SEAL ON THE DATE AND PLACE FIRST
ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No.____;
Series of 2022.

Republic of the Philippines)


Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, VINCENT PADIDA TONGA DELA, Filipino, of legal age, single and residing at
Atty. IRINEO
9015, Purok 7 Antonio Street, Barangay Batas, Silang, A. ANARNA
Cavite, after having been duly
Notary
sworn to in accordance with law do hereby depose and Public
say for the Province of Cavite
that:
Commission No. TG-20-009, valid until Dec. 31, 2022
Roll of Attorneys No. 32080
30. I am a Globe Subscriber with Sim Card
IBPbearing
No. 01666/number 0915-262-7364
Lifetime Member
PTR No. 5498388 / 1-03-2022 / TMC
which was inserted in my My Phone cellular
MCLE No. VII ---- phone;
0003161 / May 15, 2021 / valid until April 14, 2025
No. 4 Madlansacay St., Poblacion 2, Silang, Cavite
31. However, yesterday September 14, 2022 at around 3:00 o’clock in the
afternoon, my cellphone containing my said SIM Card fell unnoticed from my
motorcycle and despite all diligent efforts exerted to locate the same but to
no avail;

32. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto signed below.


VINCENT PADIDA TONGA DELA
Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 15 th day of
September, 2022 personally appeared VINCENT PADIDA TONGA DELA with his
Driver’s License ID No. D18-21-203030 issued by LTO and valid until 2025/10/22, who
is personally known to me or identified by me through competent evidence of identity
as defined by the Notarial Rules as the person who signs the document and in my
presence taken an oath or affirmation before me as to such document. WITNESS MY
HAND AND SEAL ON THE DATE AND PLACE FIRST ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No.____;
Series of 2022.

Republic of the Philippines)


Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, ALLAN ROBERT B. VALENCIA, JR., Filipino, of legal age, married and


residing at Barangay Adlas, Silang, Cavite, after having been duly sworn to in
accordance with law do hereby depose and say that:

33. I am a Globe Subscriber with Sim Card bearing number 0916-456-2840


which was linked to my G-Cash account;

34. I applied again for my G-Cash account under my Smart SIM Card bearing
number 0961-882-9445. Unfortunately, my wife sent me money thru my G-
Cash account amounting to Php3,000.00, Philippine Currency under my
Globe Sim Card bearing number 0916-456-2840;

35. However, sometime in 2021, my said Globe SIM Card bearing number 0916-
456-2840 was misplaced and despite all diligent efforts exerted to locate the
same but to no avail;
36. I executed this affidavit to attest to the truth and veracity of the foregoing
statements; to request to the proper authorities concerned to transfer the
amount of Three Thousand Pesos (Php3,000.00), Philippine Currency to my
new G-Cash account under my Smart SIM Card bearing number 0961-882-
9445 and for all legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto signed below.

ALLAN ROBERT B. VALENCIA, JR.


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 31 st day of
August, 2022 personally appeared ALLAN ROBERT B. VALENCIA, JR. with his
Driver’s License ID No. D18-17-012871 issued by LTO and valid until 2031/11/29, who
is personally known to me or identified by me through competent evidence of identity
as defined by the Notarial Rules as the person who signs the document and in my
presence taken an oath or affirmation before me as to such document. WITNESS MY
HAND AND SEAL ON THE DATE AND PLACE FIRST ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No.____;
Series of 2022.

Republic of the Philippines)


Silang, Cavite ) S.S.
x----------------------------------x

Atty.
AFFIDAVIT OF LOSSIRINEO A. ANARNA
Notary Public for the Province of Cavite
Commission No. TG-20-009, valid until Dec. 31, 2022
I, ALEX MANINGO JARIOLNE, Filipino, of legal Roll of age, married
Attorneys No. 32080 and residing at
Block 8, Lot 1, Blessed Ville Subdivision, Barangay Sampaloc , Cavite, after having
IBP No. 01666/ Lifetime Member
PTR No. 5498388 / 1-03-2022 / TMC
been duly sworn to in accordance with law MCLE
do hereby depose
No. VII ---- 0003161 / Mayand say
15, 2021 that:
/ valid until April 14, 2025
No. 4 Madlansacay St., Poblacion 2, Silang, Cavite
37. I am a Smart Subscriber with Sim Cards bearing number 0920-214-0674
and 0947-244-6490 which were inserted in my Huawei 7SE cellular phone;

38. However, on July 24, 2022 at about 1:00 to 3:00 o’clock in the morning,
unidentified culprit entered into our house and took all our personal
belongings including my Huawei 7SE cellular phone containing my said SIM
Cards and despite all diligent efforts exerted to locate the same but to no
avail;

39. I executed this affidavit to attest to the truth and veracity of the foregoing
statements; to apprise the proper authorities concerned for the replacement
of my said SIM Cards with same number 0920-214-0674 and 0947-244-
6490 and for all legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto signed below.

ALEX MANINGO JARIOLNE


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 29 th day of
July, 2022 personally appeared ALEX MANINGO JARIOLNE with his Driver’s License
ID No. K02-97-067402 issued by LTO and valid until 2032/05/17, who is personally
known to me or identified by me through competent evidence of identity as defined by
the Notarial Rules as the person who signs the document and in my presence taken an
oath or affirmation before me as to such document. WITNESS MY HAND AND SEAL
ON THE DATE AND PLACE FIRST ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No.____;
Series of 2022.

Republic of the Philippines)


Silang, Cavite ) S.S.
x----------------------------------x
Atty. IRINEO A. ANARNA
AFFIDAVIT Notary
OF LOSSPublic for the Province of Cavite
Commission No. TG-20-009, valid until Dec. 31, 2022
Roll of Attorneys No. 32080
I, EUFROCINA DELOS REYES AMUTAN,IBP Filipino,
No. 01666/ ofLifetime
legal Member
age, married and
residing at 144 Barangay Pasong Langka, Silang,PTR Cavite, after /having
No. 5498388 1-03-2022been / TMCduly sworn
MCLE No. VII ---- 0003161 / May 15, 2021 / valid until April 14, 2025
to in accordance with law do hereby depose and
No. 4say that: St., Poblacion 2, Silang, Cavite
Madlansacay

40. I am a Smart Subscriber with Sim Cards bearing number 0920-214-0674


and 0947-244-6490 which were inserted in my Huawei 7SE cellular phone;
41. However, on July 24, 2022 at about 1:00 to 3:00 o’clock in the morning,
unidentified culprit entered into our house and took all our personal
belongings including my Huawei 7SE cellular phone containing my said SIM
Cards and despite all diligent efforts exerted to locate the same but to no
avail;

42. I executed this affidavit to attest to the truth and veracity of the foregoing
statements; to apprise the proper authorities concerned for the replacement
of my said SIM Cards with same number 0920-214-0674 and 0947-244-
6490 and for all legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto signed below.

EUFROCINA DELOS REYES AMUTAN


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 27 th day of
July, 2022 personally appeared EUFROCINA DELOS REYES AMUTAN with her Non-
Professional Driver’s License ID No. D18-19-010758 issued by LTO and valid until
2024/05/07, who is personally known to me or identified by me through competent
evidence of identity as defined by the Notarial Rules as the person who signs the
document and in my presence taken an oath or affirmation before me as to such
document. WITNESS MY HAND AND SEAL ON THE DATE AND PLACE FIRST
ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No.____;
Series of 2022.

Atty. IRINEO A. ANARNA


Notary Public for the Province of Cavite
Commission No. TG-20-009, valid until Dec. 31, 2022
Roll of Attorneys No. 32080
IBP No. 01666/ Lifetime Member
PTR No. 5498388 / 1-03-2022 / TMC
MCLE No. VII ---- 0003161 / May 15, 2021 / valid until April 14, 2025
No. 4 Madlansacay St., Poblacion 2, Silang, Cavite
Republic of the Philippines)
Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, EUFROCINA DELOS REYES AMUTAN, Filipino, of legal age, married and


residing at 144 Barangay Pasong Langka, Silang, Cavite, after having been duly sworn
to in accordance with law do hereby depose and say that:
43. I am a Globe Postpaid Subscriber with Sim Card bearing number 0917-153-
1918 which was inserted in my Huawei 7SE cellular phone;

44. However, on July 24, 2022 at about 1:00 to 3:00 o’clock in the morning,
unidentified culprit entered into our house and took all our personal
belongings including my Huawei 7SE cellular phone containing my said SIM
Card and despite all diligent efforts exerted to locate the same but to no
avail;

45. I executed this affidavit to attest to the truth and veracity of the foregoing
statements; to apprise the proper authorities concerned for the replacement
of my said SIM Card with same number 0917-153-1918 and for all legal
intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto signed below.

EUFROCINA DELOS REYES AMUTAN


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 27 th day of
July, 2022 personally appeared EUFROCINA DELOS REYES AMUTAN with her Non-
Professional Driver’s License ID No. D18-19-010758 issued by LTO and valid until
2024/05/07, who is personally known to me or identified by me through competent
evidence of identity as defined by the Notarial Rules as the person who signs the
document and in my presence taken an oath or affirmation before me as to such
document. WITNESS MY HAND AND SEAL ON THE DATE AND PLACE FIRST
ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No.____;
Series of 2022.

Atty. IRINEO A. ANARNA


Notary Public for the Province of Cavite
Commission No. TG-20-009, valid until Dec. 31, 2022
Roll of Attorneys No. 32080
IBP No. 01666/ Lifetime Member
PTR No. 5498388 / 1-03-2022 / TMC
MCLE No. VII ---- 0003161 / May 15, 2021 / valid until April 14, 2025
No. 4 Madlansacay St., Poblacion 2, Silang, Cavite

Republic of the Philippines)


Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS
I, JARIESER M. TERRIBLE, Filipino, of legal age, single and residing at
Barangay Santol, Silang, Cavite, after having been duly sworn to in accordance with
law do hereby depose and say that:

46. I am a Talk N’ Text subscriber with SIM Card bearing number 0938-009-
4963 which was inserted in my Iphone 7 cellular phone;

47. Yesterday July 25, 2022, I, Marvin N. Julongbayan (helper) and Kervin
Geneveo (driver) went to Sm City Bacoor to deliver the Megasoft products.
Upon reaching our destination, the driver parked the delivery truck in the
parking area of the said place. However, while we are unloading the
Megasoft products inside the SM City Bacoor, we left the delivery truck
unattended together with our personal belongings including my Iphone 7
cellular phone containing my said SIM Card;

48. Unfortunately, after unloading the products, we came back to the delivery
truck and I noticed that my Iphone 7 cellular phone containing my said Sim
Card was missing and I believe that the same was stolen by unidentified
culprit and despite all diligent efforts exerted to locate the same but to no
avail;

49. I executed this affidavit to attest to the truth and veracity of the foregoing
statements; to apprise the proper authorities concerned for the replacement
of my said SIM Card with same number 0938-009-4963 and for all legal
intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto signed below.

JARIESER M. TERRIBLE
Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 26 th day of
July, 2022 personally appeared JARIESER M. TERRIBLE with his Philhealth ID No.
09-251158841-5, who is personally known to me or identified by me through
competent evidence of identity as defined by the Notarial Rules as the person who
signs the document and in my presence taken an oath or affirmation before me as to
such document. WITNESS MY HAND AND SEAL ON THE DATE AND PLACE FIRST
ABOVE-WRITTEN.

Doc. No. 105;


Page No. 22;
Book No. 325;
Series of 2022.

Atty. IRINEO A. ANARNA


Notary Public for the Province of Cavite
Commission No. TG-20-009, valid until Dec. 31, 2022
Roll of Attorneys No. 32080
IBP No. 01666/ Lifetime Member
PTR No. 5498388 / 1-03-2022 / TMC
MCLE No. VII ---- 0003161 / May 15, 2021 / valid until April 14, 2025
No. 4 Madlansacay St., Poblacion 2, Silang, Cavite

Republic of the Philippines)


Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, MARVIN NARAG JULONGBAYAN, Filipino, of legal age, married and residing


at Barangay Santol, Silang, Cavite, after having been duly sworn to in accordance with
law do hereby depose and say that:

50. I am a Touch Mobile (TM) subscriber with Sim Card bearing number 0975-
805-4311 and a Talk N’ Text subscriber with SIM Card bearing number
0909-108-0248 which were inserted in my Vivo V15 cellular phone;

51. I usually place my Vivo V15 cellular phone inside my bag for safekeeping;

52. Yesterday July 26, 2022, I, Jarieser Terrible (helper) and Kervin Geneveyo
(driver) went to Sm City Bacoor to deliver the Megasoft products. Upon
reaching our destination, the driver parked the delivery truck in the parking
area of the said place. However, while we are unloading the Megasoft
products inside the SM City Bacoor, we left the delivery truck unattended
together with our personal belongings including my Vivo V15 cellular phone
containing my said SIM Cards;

53. Unfortunately, after unloading the products, we came back to the delivery
truck and I noticed that my Vivo V15 cellular phone containing my said Sim
Cards were missing and I believe that the same was stolen by unidentified
culprit and despite all diligent efforts exerted to locate the same but to no
avail;

54. I executed this affidavit to attest to the truth and veracity of the foregoing
statements; to apprise the proper authorities concerned for the replacement
of my said SIM Cards with same number 0975-805-4311 and 0909-108-
0248 and for all legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto signed below.

MARVIN NARAG JULONGBAYAN


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 26 th day of
July, 2022 personally appeared MARVIN NARAG JULONGBAYAN with his
Professional Driver’s License ID No. D18-11-000331 issued by LTO and valid until
2024/04/22, who is personally known to me or identified by me through competent
evidence of identity as defined by the Notarial Rules as the person who signs the
document and in my presence taken an oath or affirmation before me as to such
document. WITNESS MY HAND AND SEAL ON THE DATE AND PLACE FIRST
ABOVE-WRITTEN.
Atty. IRINEO A. ANARNA
Doc. No. ____; Notary Public for the Province of Cavite
Page No.____; Commission No. TG-20-009, valid until Dec. 31, 2022
Roll of Attorneys No. 32080
Book No.____; IBP No. 01666/ Lifetime Member
Series of 2022. PTR No. 5498388 / 1-03-2022 / TMC
MCLE No. VII ---- 0003161 / May 15, 2021 / valid until April 14, 2025
No. 4 Madlansacay St., Poblacion 2, Silang, Cavite
Republic of the Philippines)
Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, MA. KATRINA PAMELA I. DELA REA, Filipino, of legal age, single and
residing at 193 P. Montoya, Barangay San Miguel I, Silang, Cavite, after having been
duly sworn to in accordance with law do hereby depose and say that:

55. I am a Touch Mobile (TM) subscriber with Sim Card bearing number 0997-
450-0099 which was inserted in my Iphone 11 cellular phone;

56. I usually place my Iphone 11 cellular phone in the table of the reception area
in my workplace at Healthcom Medical Clinic, Imus City, Cavite;

57. However, on July 14, 2022, my Iphone 11 cellular phone containing my said
SIM Card went missing and I believe that the same was stolen by
unidentified culprit and despite all diligent efforts exerted to locate the same
but to no avail;

58. I executed this affidavit to attest to the truth and veracity of the foregoing
statements; to apprise the proper authorities concerned for the replacement
of my said SIM Card with same number 0997-450-0099 and for all legal
intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto signed below.

MA. KATRINA PAMELA I. DELA REA


Affiant

BEFORE ME, a Notary Public for and in the Atty. IRINEOofA.


Province ANARNA
Cavite, this 18 th day of
Notary Public for the Province of Cavite
July, 2022 personally appeared MA. KATRINA PAMELA
Commission I. DELAvalid
No. TG-20-009, REA with31,her
until Dec. 2022Voter’s
ID No. 2118-0349A-C1885MID20005-1 issued by Comelec Silang, Cavite, who is
Roll of Attorneys No. 32080
personally known to me or identified by me through IBPcompetent
No. 01666/ Lifetime
evidenceMember of identity as
PTR No. 5498388 / 1-03-2022 / TMC
defined by the Notarial Rules as the person who signs the document and
MCLE No. VII ---- 0003161 / May 15, 2021 / valid until April in my
14, 2025
No. 4 Madlansacay St., Poblacion
presence taken an oath or affirmation before me as to such document. WITNESS MY 2, Silang, Cavite

HAND AND SEAL ON THE DATE AND PLACE FIRST ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No.____;
Series of 2022.
Republic of the Philippines)
Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, LUI HUBERT ONG LIMA, Filipino, of legal age, single and residing at 145
Barangay Lalaan 1st, Silang, Cavite, after having been duly sworn to in accordance
with law do hereby depose and say that:

59. On March 19,2022, I purchased at Presnet Cellphone Shop one (1)


Samsung Galaxy S8 Ultra 5G tablet with IMEI: 358957690242515 in the
amount of Seventy-Four Thousand Nine Hundred Ninety Pesos
(Php74,990.00) Philippine Currency;

60. However, on July 15, 2022 at about 3:30 o’clock in the morning, while I was
sleeping in my bed in my above-mentioned residence address, my Samsung
Galaxy S8 Ultra 5G tablet with IMEI: 358957690242515 was stolen by un-
identified culprit and despite all diligent efforts exerted to locate the same but
to no avail;

61. I executed this affidavit to attest to the truth and veracity of the foregoing
statements; to apprise the proper authorities concerned for the replacement
of my said SIM Cards with same number 0933-459-7100 and for all legal
intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto signed below.

LUI HUBERT ONG LIMA


Atty. IRINEO A. ANARNA
Affiant
Notary Public for the Province of Cavite
Commission No. TG-20-009, valid until Dec. 31, 2022
BEFORE ME, a Notary Public for and in theIBP Roll of Attorneys
Province No. 32080
of Cavite, this 16 th day of
No. 01666/ Lifetime Member
July, 2022 personally appeared LUI HUBERT ONG PTR LIMA with his
No. 5498388 Philhealth
/ 1-03-2022 / TMCID No. 01-
051491588-7, who is personally known to MCLE
me No.
or VIIidentified by 15,me
---- 0003161 / May 2021through competent
/ valid until April 14, 2025
No. 4 Madlansacay St., Poblacion 2, Silang, Cavite
evidence of identity as defined by the Notarial Rules as the person who signs the
document and in my presence taken an oath or affirmation before me as to such
document. WITNESS MY HAND AND SEAL ON THE DATE AND PLACE FIRST
ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No.____;
Series of 2022.
Republic of the Philippines)
Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, TOMASA T. CANTOS, Filipino, of legal age, married and residing at Barangay


Lumil, Silang, Cavite, after having been duly sworn to in accordance with law do
hereby depose and say that:

62. I am a Sun Cellular Subscriber with Sim Card bearing number 0933-459-
7100 and a Toch Mobile (TM) subscriber with Sim Card bearing number
0955-740-6712 which was inserted in my Vivo cellular phone;

63. I securely place my Vivo cellular phone inside my bag for safekeeping;

64. However, on July 09, 2022, my Vivo cellular phone containing my said SIM
Cards were missing and despite all diligent efforts exerted to locate the
same but to no avail;

65. I executed this affidavit to attest to the truth and veracity of the foregoing
statements; to apprise the proper authorities concerned for the replacement
of my said SIM Cards with same number 0933-459-7100 and 0955-740-
6712 and for all legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto signed below.

Atty. IRINEO A. ANARNA


Notary Public for the Province of Cavite
Commission No. TG-20-009, valid until Dec. 31, 2022
TOMASA T. CANTOS
Roll of Attorneys No. 32080
Affiant
IBP No. 01666/ Lifetime Member
PTR No. 5498388 / 1-03-2022 / TMC
MCLE No. VII ---- 0003161 / May 15, 2021 / valid until April 14, 2025
th
BEFORE ME, a Notary Public for and in the
No.Province ofSt.,
4 Madlansacay Cavite,
Poblacionthis 11 Cavite
2, Silang, day of
July, 2022 personally appeared TOMASA T. CANTOS with her Senior ID No. 023-038
issued on March 24, 2017 by OSCA Silang, Cavite, who is personally known to me or
identified by me through competent evidence of identity as defined by the Notarial
Rules as the person who signs the document and in my presence taken an oath or
affirmation before me as to such document. WITNESS MY HAND AND SEAL ON THE
DATE AND PLACE FIRST ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No.____;
Series of 2022.

Republic of the Philippines)


Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, TRISTAN TROY A. ENRIQUEZ, Filipino, of legal age, single and residing at


368 Enriquez Compound, Barangay Pooc I, Silang, Cavite, after having been duly
sworn to in accordance with law do hereby depose and say that:

66. I am a Globe Subscriber with Sim Card bearing number 0917-595-9326


which was inserted in my Iphone X cellular phone;

67. I securely place my Iphone X cellular phone inside my pocket for


safekeeping;

68. However, on July 04, 2022 at around 1:00 o’clock in the afternoon, I boarded
on a tricycle (Bokyo) from Olivarez Rotonda Tagaytay City, Cavite going to
Silang, Cavite. Unfortunately, while I was on my way to Silang, Cavite, I
noticed that my Iphone X cellular phone containing my said SIM Card was
missing and despite all diligent efforts exerted to locate the same but to no
avail;

69. I executed this affidavit to attest to the truth and veracity of the foregoing
statements; to apprise the proper authorities concerned for the replacement
of my said SIM with same number 0917-595-9326 and for all legal intents
and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto signed below.

TRISTAN TROY A. ENRIQUEZ


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 7 th day of
July, 2022 personally appeared TRISTAN TROY A. ENRIQUEZ with his UMID CRN-
0111-2182862-3, who is personally known to me or identified by me through
competent evidence of identity as defined by the Notarial Rules as the person who
signs the document and in my presence taken an oath or affirmation before me as to
such document. WITNESS MY HAND AND SEAL ON THE DATE AND PLACE FIRST
ABOVE-WRITTEN.
Doc. No. ____;
Page No.____;
Book No.____;
Series of 2022.

Republic of the Philippines)


Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, RHENZ MARI FERMA ODO, Filipino, of legal age, married and residing at
Barangay Pulong Saging, Silang, Cavite, after having been duly sworn to in
accordance with law do hereby depose and say that:

70. I am a Touch Mobile (TM) Subscriber with Sim Card bearing number 0905-
618-8132 which was inserted in my Reno 5 cellular phone and which was
linked to my GCASH account under my maiden name Rhenz Mari Ferma;

71. I securely place my Reno 5 cellular phone inside my jacket’s pocket for
safekeeping;

72. However, on July 01, 2022, my Reno 5 cellular phone containing my said
SIM Card fell unnoticed from my jacket’s pocket and despite all diligent
efforts exerted to locate the same but to no avail;

73. I executed this affidavit to attest to the truth and veracity of the foregoing
statements; to apprise the proper authorities concerned for the replacement
of my said SIM with same number 0905-618-8132 and for all legal intents
and purposes this may serve. Atty. IRINEO A. ANARNA
Notary Public for the Province of Cavite
Commission No. TG-20-009, valid until Dec. 31, 2022
IN WITNESS WHEREOF, I have hereunto signed Roll
below.
of Attorneys No. 32080
IBP No. 01666/ Lifetime Member
PTR No. 5498388 / 1-03-2022 / TMC
MCLE No. VII ---- 0003161 / May 15, 2021 / valid until April 14, 2025
No. 4 Madlansacay St., Poblacion 2, Silang, Cavite

RHENZ MARI FERMA ODO


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 5 th day of
July, 2022 personally appeared RHENZ MARI FERMA ODO with her PRC License ID
No. 1608145 issued by PRC and valid until 10/09/2024, who is personally known to me
or identified by me through competent evidence of identity as defined by the Notarial
Rules as the person who signs the document and in my presence taken an oath or
affirmation before me as to such document. WITNESS MY HAND AND SEAL ON THE
DATE AND PLACE FIRST ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No.____;
Series of 2022.

Republic of the Philippines)


Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, MARLO MASCARIÑAS MANZANO, Filipino, of legal age, single and residing


at Cableway Katipunan St. Calumpang, Binangonan, Rizal, after having been duly
sworn to in accordance with law do hereby depose and say that:

74. I am a Touch Mobile (TM) Subscriber with Sim Card bearing number 0936-
1056-977 and Smart Subscriber with Sim Card bearing number 0949-837-
1023 which was inserted in my Oppo F9 cellular phone;

75. I and my two (2) friends namely Michael Olivera and Annelyn Cuaderno
together with our other team consisting of make-up artist, assistant and
photographer rented an apartment located at Kapt. Sayas Street, Brgy. San
Vicente II, Silang, Cavite;

76. However, today June 24, 2022, when I and my friends wake up at around
4:00 o’clock in the morning, I noticed that my Oppo F9 cellular phone
containing my said SIM Cards was missing including the cellular phones of
my two (2) friends Michael Olivera and Annelyn Cuaderno;

77. We noticed that the door of our rented apartment was opened and we
believe that at around 2:00 to 3:00 o’clockAtty.
in theIRINEOmorning, A. unidentified
ANARNA culprit
Notary Public for the Province of Cavite
entered and stole my Oppo F9 cellular phone No.
Commission containing myuntil
TG-20-009, valid saidDec.SIM Cards
31, 2022
including the cellular phones of my two (2) friends Michaela Olivera and
Roll of Attorneys No. 32080
IBP No. 01666/ Lifetime Member
Annelyn Cuaderno and despite all diligentPTR efforts exerted to locate the same
No. 5498388 / 1-03-2022 / TMC
but to no avail; MCLE No. VII ---- 0003161 / May 15, 2021 / valid until April 14, 2025
No. 4 Madlansacay St., Poblacion 2, Silang, Cavite

78. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto signed below.


MARLO MASCARIÑAS MANZANO
Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 24 th day of
June, 2022 personally appeared MARLO MASCARIÑAS MANZANO with his UMID
CRN-0111-5784530-8, who is personally known to me or identified by me through
competent evidence of identity as defined by the Notarial Rules as the person who
signs the document and in my presence taken an oath or affirmation before me as to
such document. WITNESS MY HAND AND SEAL ON THE DATE AND PLACE FIRST
ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No.____;
Series of 2022.

Republic of the Philippines)


Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, ABIGAEL A. AGRAVANTE, Filipino, of legal age, single and residing at Brgy.


Biga I, Silang, Cavite, after having been duly sworn to in accordance with law do
hereby depose and say that:

79. I am a Smart Subscriber with Sim Card bearing number 0947-1000-239;

80. I placed my said SIM Card in my phone case for safekeeping;

81. On May 29, 2022, my Sim Card bearing number 0947-1000-239 fell
unnoticed from my phone’s case and despite all diligent efforts exerted to
locate the same but to no avail;
Atty. IRINEO A. ANARNA
Notary Public for the Province of Cavite
82. I executed this affidavit to attest toCommission
the truth No. and veracity
TG-20-009, ofDec.
valid until the31,foregoing
2022
statements; to apprise the proper authorities Rollconcerned
of Attorneys No. for32080
the replacement
IBP No. 01666/ for Lifetime
of my said SIM with same number 0947-1000-239 all Member
PTR No. 5498388 / 1-03-2022 / TMC
legal intents and
purposes this may serve. MCLE No. VII ---- 0003161 / May 15, 2021 / valid until April 14, 2025
No. 4 Madlansacay St., Poblacion 2, Silang, Cavite

IN WITNESS WHEREOF, I have hereunto signed below.


ABIGAEL A. AGRAVANTE
Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 8 th day of
June, 2022 personally appeared ABIGAEL A. AGRAVANTE with her Postal ID No.
PRN D53210053587 P issued by Post Office Silang, Cavite and valid until Jan. 28,
2024, who is personally known to me or identified by me through competent evidence
of identity as defined by the Notarial Rules as the person who signs the document and
in my presence taken an oath or affirmation before me as to such document.
WITNESS MY HAND AND SEAL ON THE DATE AND PLACE FIRST ABOVE-
WRITTEN.

Doc. No. ____;


Page No.____;
Book No.____;
Series of 2022.

Republic of the Philippines)


Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, JOSEPH NAVARRO KARUNUNGAN, Filipino, of legal age, married and


Atty. Biñan,
residing at 722 Gintong Silahis St., Brgy. Malaban, IRINEOLaguna, A. ANARNA after having been
duly sworn to in accordance with law do herebyNotary
depose and say that: of Cavite
Public for the Province
Commission No. TG-20-009, valid until Dec. 31, 2022
Roll of Attorneys No. 32080
83. I am a Sun Cellular Subscriber with IBP
SimNo.Card
01666/bearing number 0943-453-
Lifetime Member
PTR No. 5498388 / 1-03-2022 / TMC
1971 which was inserted in my MCLE
Iphone
No. VII4S cellular
---- 0003161 / Mayphone;
15, 2021 / valid until April 14, 2025
No. 4 Madlansacay St., Poblacion 2, Silang, Cavite
84. I placed my Iphone 4S cellular phone containing my said SIM Card inside my
jacket’s pocket for safekeeping;

85. On June 04, 2022, my Iphone 4S cellular phone containing my Sim Card
bearing number 0943-453-1971 fell unnoticed from my jacket’s pocket and
despite all diligent efforts exerted to locate the same but to no avail;

86. I executed this affidavit to attest to the truth and veracity of the foregoing
statements; to apprise the proper authorities concerned for the replacement
of my said SIM with same number 0 943-453-1971 for all legal intents and
purposes this may serve.
IN WITNESS WHEREOF, I have hereunto signed below.

JOSEPH NAVARRO KARUNUNGAN


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 6 th day of
June, 2022 personally appeared JOSEPH NAVARRO KARUNUNGAN with his Non-
Professional Driver’s License ID No. N26-10-005784 issued by LTO and valid until
2023/08/23, who is personally known to me or identified by me through competent
evidence of identity as defined by the Notarial Rules as the person who signs the
document and in my presence taken an oath or affirmation before me as to such
document. WITNESS MY HAND AND SEAL ON THE DATE AND PLACE FIRST
ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No.____;
Series of 2022.

Republic of the Philippines)


Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, GLENN BRONZI MARIANO, Filipino, of legal age, single and residing at


Purok 7 Palaisdaan, Balita 1, Silang, Cavite, after having been duly sworn to in
accordance with law do hereby depose and say that:
Atty. IRINEO A. ANARNA
Notary Public for the Province of Cavite
87. I am a Globe Subscriber with Sim Card bearing number 0915-641-0803
Commission No. TG-20-009, valid until Dec. 31, 2022
which was inserted in my Samsung Galaxy A12
Roll cellularNo.
of Attorneys phone;
32080
IBP No. 01666/ Lifetime Member
PTR No. 5498388 / 1-03-2022 / TMC
88. I placed my Samsung Galaxy A12 cellular
MCLE No. phone
VII ---- 0003161 containing
/ May 15, 2021 / valid until my said
April 14, 2025 SIM
Card inside my short’s pocket for safekeeping;
No. 4 Madlansacay St., Poblacion 2, Silang, Cavite

89. Yesterday June 2, 2022, while I was driving my motorcyle from Barangay
Hall of Balite I, Silang, Cavite on my way home to my residence address
above-mentioned, my Samsung Galaxy A12 cellular phone containing my
said SIM Card fell unnoticed from my short’s pocket and despite all diligent
efforts exerted to locate the same but to no avail;
90. I executed this affidavit to attest to the truth and veracity of the foregoing
statements; to apprise the proper authorities concerned for the replacement
of my said SIM with same number 0915-641-0803 for all legal intents and
purposes this may serve.

IN WITNESS WHEREOF, I have hereunto signed below.

GLENN BRONZI MARIANO


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 3 rd day of
June, 2022 personally appeared GLENN BRONZI MARIANO with his Passport No.
P7658832B issued on Sept. 22, 2021 by DFA Ilocos Norte and valid until Sept. 21,
2031, who is personally known to me or identified by me through competent evidence
of identity as defined by the Notarial Rules as the person who signs the document and
in my presence taken an oath or affirmation before me as to such document.
WITNESS MY HAND AND SEAL ON THE DATE AND PLACE FIRST ABOVE-
WRITTEN.

Doc. No. ____;


Page No.____;
Book No.____;
Series of 2022.

Republic of the Philippines)


Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, RYAN CRUZ SISON, Filipino, of legal Atty. IRINEO and


age, married A. ANARNA
residing at Block 1,
Notary Public for the Province of Cavite
Lot 43, Alley C, Satellite Homes 2, Brgy. San Jose, Dasmariñas, Cavite, after having
Commission No. TG-20-009, valid until Dec. 31, 2022
been duly sworn to in accordance with law do hereby depose
Roll andNo.
of Attorneys say that:
32080
IBP No. 01666/ Lifetime Member
PTR No. 5498388 / 1-03-2022 / TMC
91. I am a Smart Subscriber with Sim Card
MCLE No. VIIbearing
---- 0003161 number 0961-077-1517;
/ May 15, 2021 / valid until April 14, 2025
No. 4 Madlansacay St., Poblacion 2, Silang, Cavite

92. However, on May 30, 2022, my said SIM Card bearing number 0961-077-
1517 was misplaced and despite all diligent efforts exerted to locate the
same but to no avail;

93. I executed this affidavit to attest to the truth and veracity of the foregoing
statements; to apprise the proper authorities concerned for the loss of my
said SIM Card and to request for its replacement with same SIM Number
bearing 0961-077-1517 and for all legal intents and purposes this may
serve.

IN WITNESS WHEREOF, I have hereunto signed below.

RYAN CRUZ SISON


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 2nd day of
June, 2022 personally appeared RYAN CRUZ SISON with his Professional Driver’s
License ID No. N04-98-421793 issued by LTO and valid until 2024/08/09, who is
personally known to me or identified by me through competent evidence of identity as
defined by the Notarial Rules as the person who signs the document and in my
presence taken an oath or affirmation before me as to such document. WITNESS MY
HAND AND SEAL ON THE DATE AND PLACE FIRST ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No.____;
Series of 2022.

Atty. IRINEO A. ANARNA


Notary Public for the Province of Cavite
Commission No. TG-20-009, valid until Dec. 31, 2022
Roll of Attorneys No. 32080
IBP No. 01666/ Lifetime Member
Republic of the Philippines) PTR No. 5498388 / 1-03-2022 / TMC
MCLE No. VII ---- 0003161 / May 15, 2021 / valid until April 14, 2025
Silang, Cavite ) S.S. No. 4 Madlansacay St., Poblacion 2, Silang, Cavite
x----------------------------------x

AFFIDAVIT OF LOSS

I, KAREN JOY LAURIO RIEGO, Filipino, of legal age, single and presently
residing at Barangay San Cristobal, Calamba City, Laguna, after having been duly
sworn to in accordance with law do hereby depose and say that:

94. I am a Globe Postpaid Subscriber with Sim Card bearing number 0917-703-
8993 which was attached to my Real Me C25 cellular phone;

95. I securely placed my Real Me C25 cellular phone containing my said SIM
Card inside my bag pack for safekeeping;
96. However, on May 13, 2022 at around 6:00 o’clock in the afternoon, while I
was walking going to SM Pala-Pala, Dasmariñas, Cavite, my friend noticed
that my bag was open and when I checked the same, I noticed that my Real
Me C25 cellular phone containing my said SIM Card was missing and
despite all diligent efforts exerted to locate the same but to no avail;

97. I executed this affidavit to attest to the truth and veracity of the foregoing
statements; to apprise the proper authorities concerned for the loss of my
SIM Real Me C25 cellular phone containing my said SIM Card and to
request for its replacement for all legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto signed below.

KAREN JOY LAURIO RIEGO


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 16 th day of
May, 2022 personally appeared KAREN JOY LAURIO RIEGO with her Voter’s ID No.
5603-0187B-A2694KLR20000 issued by COMELEC Atimonan, Quezon, who is
personally known to me or identified by me through competent evidence of identity as
defined by the Notarial Rules as the person who signs the document and in my
presence taken an oath or affirmation before me as to such document. WITNESS MY
HAND AND SEAL ON THE DATE AND PLACE FIRST ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No.____;
Series of 2022.

Republic of the Philippines)


Silang, Cavite ) S.S.
x----------------------------------x Atty. IRINEO A. ANARNA
Notary Public for the Province of Cavite
Commission No. TG-20-009, valid until Dec. 31, 2022
AFFIDAVIT OF Roll
LOSS of Attorneys No. 32080
IBP No. 01666/ Lifetime Member
PTR No. 5498388 / 1-03-2022 / TMC
I, BEET JOVEN M. CANONIZADO,MCLE Filipino,
No. VII ----of legal
0003161 age,
/ May single
15, 2021 and
/ valid until Aprilresiding
14, 2025 at
Barangay San Miguel I, Silang, Cavite, after having been duly sworn to in accordance
No. 4 Madlansacay St., Poblacion 2, Silang, Cavite

with law do hereby depose and say that:

98. I am a Talk N’ Text Subscriber with Sim Card bearing number 0951-995-
7157 which was linked to my G-Cash account with remaining balance
amounting to Three Thousand Four Pesos (Php3,004.00) Philippine
Currency;
99. I detached my said SIM card from my cellular phone and kept the same
inside my wallet for safekeeping;

100. However, on April 20, 2022, when I checked the same, I noticed that my
said SIM Card bearing number 0951-995-7157 was missing and despite all
diligent efforts exerted to locate the same but to no avail;

101. I executed this affidavit to attest to the truth and veracity of the foregoing
statements; to apprise the proper authorities concerned for the loss of my
SIM Card bearing number 0951-995-7157 which was linked to my G-Cash
account and to request to transfer the remaining balance in my said G-Cash
Account amounting to Three Thousand Four Pesos (Php3,004.00) Philippine
Currency to my new SIM Card bearing number 0936-471-2346 and for all
legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto signed below.

BEET JOVEN M. CANONIZADO


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 27 th day of
April, 2022 personally appeared BEET JOVEN M. CANONIZADO with his Professional
Driver’s License ID No. D18-15-016452 issued by LTO and valid until 2023/05/03, who
is personally known to me or identified by me through competent evidence of identity
as defined by the Notarial Rules as the person who signs the document and in my
presence taken an oath or affirmation before me as to such document. WITNESS MY
HAND AND SEAL ON THE DATE AND PLACE FIRST ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No.____;
Series of 2022.

Atty. IRINEO A. ANARNA


Notary Public for the Province of Cavite
Commission No. TG-20-009, valid until Dec. 31, 2022
Roll of Attorneys No. 32080
IBP No. 01666/ Lifetime Member
Republic of the Philippines) PTR No. 5498388 / 1-03-2022 / TMC
MCLE No. VII ---- 0003161 / May 15, 2021 / valid until April 14, 2025
Silang, Cavite ) S.S. No. 4 Madlansacay St., Poblacion 2, Silang, Cavite
x----------------------------------x

AFFIDAVIT OF LOSS
I, DIGNO ORLANDO SAMSON, Filipino, of legal age, married and residing at
Purok 5 Barangay Adlas, Silang, Cavite, after having been duly sworn to in accordance
with law do hereby depose and say that:

102. I am the holder and possessor of one (1) Oppo A16 cellular phone with
Smart Sim Card number 0969-3691-301;

103. On April 19, 2022 at around 4:00 o’clock in the morning, I came home
from my work and fell asleep at around 8:00 o’clock in the morning up to
5:00 o’clock in the afternoon while the door of our house was opened. When
I woke up, I ate and then fell asleep again. However, when I woke up at
around 7:00 o’clock in the evening and when I was about to get my cellular
phone on top of the cabinet inside our house, I found out that my Oppo A16
cellular phone was missing and despite all diligent efforts exerted to locate
my cellular phone but to no avail;

104. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto signed below.

DIGNO ORLANDO SAMSON


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 27 th day of
April, 2022 personally appeared DIGNO ORLANDO SAMSON with his TIN ID No. 316-
117-609-000 issued on 01/20/2014 by BIR, who is personally known to me or identified
by me through competent evidence of identity as defined by the Notarial Rules as the
person who signs the document and in my presence taken an oath or affirmation
before me as to such document. WITNESS MY HAND AND SEAL ON THE DATE
AND PLACE FIRST ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No.____;
Series of 2022.

Atty. IRINEO A. ANARNA


Notary Public for the Province of Cavite
Commission No. TG-20-009, valid until Dec. 31, 2022
Roll of Attorneys No. 32080
IBP No. 01666/ Lifetime Member
PTR No. 5498388 / 1-03-2022 / TMC
MCLE No. VII ---- 0003161 / May 15, 2021 / valid until April 14, 2025
No. 4 Madlansacay St., Poblacion 2, Silang, Cavite

Republic of the Philippines)


Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS
I, DIGNO ORLANDO SAMSON, Filipino, of legal age, married and residing at
Purok 5 Barangay Adlas, Silang, Cavite, after having been duly sworn to in accordance
with law do hereby depose and say that:

105. I am the holder and possessor of one (1) Oppo A16 cellular phone with
Smart Sim Card number 0969-3691-301;

106. On April 19, 2022 at around 4:00 o’clock in the morning, I came home
from my work and fell asleep at around 8:00 o’clock in the morning up to
5:00 o’clock in the afternoon while the door of our house was opened. When
I woke up, I ate and then fell asleep again. However, when I woke up at
around 7:00 o’clock in the evening and when I was about to get my cellular
phone on top of the cabinet inside our house, I found out that my Oppo A16
cellular phone was missing and despite all diligent efforts exerted to locate
my cellular phone but to no avail;

107. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto signed below.

DIGNO ORLANDO SAMSON


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 22 nd day of
April, 2022 personally appeared DIGNO ORLANDO SAMSON with his TIN ID No. 316-
117-609-000 issued on 01/20/2014 by BIR, who is personally known to me or identified
by me through competent evidence of identity as defined by the Notarial Rules as the
person who signs the document and in my presence taken an oath or affirmation
before me as to such document. WITNESS MY HAND AND SEAL ON THE DATE
AND PLACE FIRST ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No.____;
Series of 2022.
Atty. IRINEO A. ANARNA
Notary Public for the Province of Cavite
Commission No. TG-20-009, valid until Dec. 31, 2022
Roll of Attorneys No. 32080
IBP No. 01666/ Lifetime Member
PTR No. 5498388 / 1-03-2022 / TMC
MCLE No. VII ---- 0003161 / May 15, 2021 / valid until April 14, 2025
No. 4 Madlansacay St., Poblacion 2, Silang, Cavite

Republic of the Philippines)


Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, JERRY SARCO TABIANAN, Filipino, of legal age, married and residing at


AUP Barangay Puting Kahoy, Silang, Cavite, after having been duly sworn to in
accordance with law do hereby depose and say that:

108. I am a Talk N’ Text Subscriber with Sim Card number 0948-503-0742


which was linked to my Gcash, Coins, BPI Online Banking and other online
accounts;

109. My said SIM Card was attached to my Nova 2i cellular phone which I
securely place inside my jacket’s pocket for safekeeping;

110. However, on January 31, 2022, while riding my motorcycle from Puting
Kahoy, Silang Cavite, going to Naic, Cavite at around 6:00 to 7:00 o’clock in
the evening. I don’t know where the phone dropped, I hurried to go to church
program when I arrive, I notice that I lost the phone containing my said SIM
Card. When I notice that the phone was gone, I try to go back and try to find
where it dropped. Unfortunately, I never found my phone. The next day I
tried to contact my phone containing my said SIM Card hoping that someone
has found it, the phone was ringing and suddenly it was not reachable
anymore.

111. Despite all diligent efforts exerted to locate my phone containing my said
Sim Card but to no avail;

112. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto signed below.

JERRY SARCO TABIANAN


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 17 th day of
March, 2022 personally appeared JERRY SARCO TABIANAN with his Non-
Professional Driver's License ID No. D18-12-008139 issued by LTO and valid until
2023/09/09, who is personally known to me or identified by me through competent
evidence of identity as defined by the Notarial Rules as the person who signs the
document and in my presence taken an oath or affirmation before me as to such
document. WITNESS MY HAND AND SEAL ON THE DATE AND PLACE FIRST
ABOVE-WRITTEN.
Atty. IRINEO A. ANARNA
Doc. No. ____; Notary Public for the Province of Cavite
Commission No. TG-20-009, valid until Dec. 31, 2022
Page No.____; Roll of Attorneys No. 32080
Book No.____; IBP No. 01666/ Lifetime Member
Series of 2022. PTR No. 5498388 / 1-03-2022 / TMC
MCLE No. VII ---- 0003161 / May 15, 2021 / valid until April 14, 2025
No. 4 Madlansacay St., Poblacion 2, Silang, Cavite
Republic of the Philippines)
Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, QUINNIE ROSE NAPILOY CUMADDAP, Filipino, of legal age, married and


residing at Barangay Biga II, Silang, Cavite, after having been duly sworn to in
accordance with law do hereby depose and say that:

113. I am a Globe Subscriber with Sim Card number 0945-546-7424 which


was linked to my GCASH account and a Talk N’ Text Subscriber with Sim
Card number 0938-593-6303;

114. My aforesaid SIM Cards was attached in my Oppo cellular phone;

115. Unfortunately, on March 14, 2022, my Oppo cellular phone containing my


said SIM Cards was stolen by unidentified culprit and despite all diligent
efforts exerted to locate my phone containing my Sim Cards but to no avail;

116. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto signed below.

QUINNIE ROSE NAPILOY CUMADDAP


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 17 th day of
March, 2022 personally appeared QUINNIE ROSE NAPILOY CUMADDAP with her
Philhealth ID No. 02-025356611-7, who is personally known to me or identified by me
through competent evidence of identity as defined by the Notarial Rules as the person
who signs the document and in my presence taken an oath or affirmation before me as
to such document. WITNESS MY HAND AND SEAL ON THE DATE AND PLACE
FIRST ABOVE-WRITTEN. Atty. IRINEO A. ANARNA
Notary Public for the Province of Cavite
Commission No. TG-20-009, valid until Dec. 31, 2022
Doc. No. ____; Roll of Attorneys No. 32080
IBP No. 01666/ Lifetime Member
Page No.____; PTR No. 5498388 / 1-03-2022 / TMC
Book No.____; MCLE No. VII ---- 0003161 / May 15, 2021 / valid until April 14, 2025
No. 4 Madlansacay St., Poblacion 2, Silang, Cavite
Series of 2022.
Republic of the Philippines)
Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, NORWELL DESAGON DELOS REYES, Filipino, of legal age, single and


residing at Pook na Munti, Barangay Kaong, Silang, Cavite, after having been duly
sworn to in accordance with law do hereby depose and say that:

117. I am a Globe Subscriber with Sim Card number 0995-776-3290 which


was linked to my GCASH account and was attached in my Vivo 21 cellular
phone;

118. Unfortunately, on March 13, 2022, my Vivo 21 cellular phone containing


my said SIM Card was stolen by unidentified culprit and despite all diligent
efforts exerted to locate my phone containing my Sim Card but to no avail;

119. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto signed below.

NORWELL DESAGON DELOS REYES


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 16 th day of
March, 2022 personally appeared NORWELL DESAGON DELOS REYES with his
Non-Professional Driver’s License ID No. D18-12-005376 issued by LTO and valid until
2022/12/29, who is personally known to me or identified by me through competent
evidence of identity as defined by the Notarial Rules as the person who signs the
document and in my presence taken an oath or affirmation before me as to such
document. WITNESS MY HAND AND SEAL ON THE DATE AND PLACE FIRST
ABOVE-WRITTEN.

Doc. No. ____;


Page No.____; Atty. IRINEO A. ANARNA
Book No.____; Notary Public for the Province of Cavite
Commission No. TG-20-009, valid until Dec. 31, 2022
Series of 2022. Roll of Attorneys No. 32080
IBP No. 01666/ Lifetime Member
PTR No. 5498388 / 1-03-2022 / TMC
MCLE No. VII ---- 0003161 / May 15, 2021 / valid until April 14, 2025
No. 4 Madlansacay St., Poblacion 2, Silang, Cavite

Republic of the Philippines)


Silang, Cavite ) S.S.
x----------------------------------x
AFFIDAVIT OF LOSS

I, REINA PALO SASAKI, Filipino, of legal age, single and residing at 87 B.


Reyes Street, Brgy. Poblacion 2, Silang, Cavite, after having been duly sworn to in
accordance with law do hereby depose and say that:

1. I am a Globe Subscriber with Sim Card number 0916-478-3894 which was


attached in my Huawei P20 cellular phone;

2. Yesterday March 15, 2022 at about 12:45 o’clock in the afternoon, I and my
mother Elsa P. Sasaki went to Wags and Whiskers veterinary clinic located
at Barangay Biga II, Silang, Cavite for the vaccination of my dog.
Unfortunately, while waiting in the said clinic, two (2) unidentified culprits
declared a hold-up and they took and stole my Huawei P20 cellular phone
containing my said SIM Card and despite all diligent efforts exerted to
retrieve my phone containing my said Sim Card but to no avail;

3. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto signed below.

REINA PALO SASAKI


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 16 th day of
March, 2022 personally appeared REINA PALO SASAKI with her Passport No.
P7338641A issued on 26 May 2018 by DFA Batangas and valid until 25 May 2028,
who is personally known to me or identified by me through competent evidence of
identity as defined by the Notarial Rules as the person who signs the document and in
my presence taken an oath or affirmation before me as to such document. WITNESS
MY HAND AND SEAL ON THE DATE AND PLACE FIRST ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No.____;
Series of 2022.

Atty. IRINEO A. ANARNA


Notary Public for the Province of Cavite
Commission No. TG-20-009, valid until Dec. 31, 2022
Roll of Attorneys No. 32080
IBP No. 01666/ Lifetime Member
PTR No. 5498388 / 1-03-2022 / TMC
MCLE No. VII ---- 0003161 / May 15, 2021 / valid until April 14, 2025
No. 4 Madlansacay St., Poblacion 2, Silang, Cavite

Republic of the Philippines)


Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS
I, ELSA PALO SASAKI, Filipino, of legal age, widow and residing at 87 B.
Reyes Street, Brgy. Poblacion 2, Silang, Cavite, after having been duly sworn to in
accordance with law do hereby depose and say that:

120. I am a Globe Subscriber with Sim Card number 0915-6068-546 which


was attached in my Oppo cellular phone;

121. Yesterday March 15, 2022 at about 12:45 o’clock in the afternoon, I and
my daughter Reina P. Sasaki went to Wags and Whiskers veterinary clinic
located at Barangay Biga II, Silang, Cavite for the vaccination of my dog.
Unfortunately, while waiting in the said clinic, two (2) unidentified culprits
declared a hold-up and they took and stole my Oppo cellular phone
containing my said SIM Card and despite all diligent efforts exerted to
retrieve my phone containing my said Sim Card but to no avail;

122. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto signed below.

ELSA PALO SASAKI


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 16 th day of
March, 2022 personally appeared ELSA PALO SASAKI with her Non-Professional
Driver’s License ID No. D18-20-001171 issued by LTO, valid until 2024/06/17, who is
personally known to me or identified by me through competent evidence of identity as
defined by the Notarial Rules as the person who signs the document and in my
presence, taken an oath or affirmation before me as to such document. WITNESS MY
HAND AND SEAL ON THE DATE AND PLACE FIRST ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No.____;
Series of 2022.

Atty. IRINEO A. ANARNA


Notary Public for the Province of Cavite
Commission No. TG-20-009, valid until Dec. 31, 2022
Roll of Attorneys No. 32080
IBP No. 01666/ Lifetime Member
PTR No. 5498388 / 1-03-2022 / TMC
Republic of the Philippines) MCLE No. VII ---- 0003161 / May 15, 2021 / valid until April 14, 2025
No. 4 Madlansacay St., Poblacion 2, Silang, Cavite
Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, MARIEL MERCADO GUILLERMO, Filipino, of legal age, single and residing


at 25 Barangay Iba, Silang, Cavite, after having been duly sworn to in accordance with
law do hereby depose and say that:
123. I am a Smart Subscriber with Sim Card number 0928-7600-028 which
was attached in my Iphone 11 cellular phone;

124. Unfortunately, yesterday March 11, 2022, my Iphone 11 cellular phone


containing my said SIM Card was stolen by unidentified culprit and despite
all diligent efforts exerted to retrieve my phone containing my said Sim Card
but to no avail;

125. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto signed below.

MARIEL MERCADO GUILLERMO


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 12 th day of
March, 2022 personally appeared MARIEL MERCADO GUILLERMO with her UMID
CRN-0111-6830148-8, who is personally known to me or identified by me through
competent evidence of identity as defined by the Notarial Rules as the person who
signs the document and in my presence taken an oath or affirmation before me as to
such document. WITNESS MY HAND AND SEAL ON THE DATE AND PLACE FIRST
ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No.____;
Series of 2022.

Atty. IRINEO A. ANARNA


Notary Public for the Province of Cavite
Commission No. TG-20-009, valid until Dec. 31, 2022
Roll of Attorneys No. 32080
IBP No. 01666/ Lifetime Member
PTR No. 5498388 / 1-03-2022 / TMC
MCLE No. VII ---- 0003161 / May 15, 2021 / valid until April 14, 2025
No. 4 Madlansacay St., Poblacion 2, Silang, Cavite

Republic of the Philippines)


Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT

I, CHRISTINE DALIDA VILLABLANCA, Filipino, of legal age, married and


residing at 15 Barangay Munting Ilog, Silang, Cavite, after having been duly sworn to in
accordance with law do hereby depose and say that:
126. I am a Talk N’ Text Subscriber with Sim Card number 0909-0781-919
which was linked to my GCASH account;

127. I only used my said SIM Card for my GCASH account and transaction.
As such my company Bellavita Land Corp. deposited my monthly rice
allowance in my said GCASH account;

128. However, sometimes in February 2022, there is no notification coming


from my GCASH account that my rice allowance for month of February 2022
in the amount of One Thousand Five Hundred (Php1,500.00) Philippine
Currency was received in my account. I tried to load my said SIM Card using
the cellular phone of my husband but the load was not able to receive by my
said SIM Card number, thus, I went to Smart Center at SM Pala-Pala,
Dasmariñas, Cavite to request for the replacement of my said SIM CARD but
the staff of the said center informed me that my said SIM CARD was
deactivated and cannot be use anymore;

129. Thus, I am informing my company Bellavita Land Corp. that my Sim Card
number 0909-0781-919 which was linked to my GCASH account was
deactivated and requesting that my monthly rice allowance including my rice
allowance for the month of February 2022 will be send to my new GCASH
Account with SIM CARD number 0969-0220-106;

130. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto signed below.

CHRISTINE DALIDA VILLABLANCA


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 11 th day of
March, 2022 personally appeared CHRISTINE DALIDA VILLABLANCA with her UMID
CRN-0111-1836253-2, who is personally known to me or identified by me through
competent evidence of identity as defined by the Notarial Rules as the person who
signs the document and in my presence taken an oath or affirmation before me as to
such document. WITNESS MY HAND AND SEAL ON THE DATE AND PLACE FIRST
ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No.____;
Series of 2022. Atty. IRINEO A. ANARNA
Notary Public for the Province of Cavite
Commission No. TG-20-009, valid until Dec. 31, 2022
Roll of Attorneys No. 32080
IBP No. 01666/ Lifetime Member
PTR No. 5498388 / 1-03-2022 / TMC
MCLE No. VII ---- 0003161 / May 15, 2021 / valid until April 14, 2025
No. 4 Madlansacay St., Poblacion 2, Silang, Cavite
Republic of the Philippines)
Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, KNITTH BORJA CALISAY, Filipino, of legal age, single and residing at Purok
2, Barangay Biga I, Silang, Cavite, after having been duly sworn to in accordance with
law do hereby depose and say that:

131. I am a Globe Subscriber with Sim Card number 0977-042-7039 which


was linked to my GCASH account and was attached in my Cloud Fone
cellular phone;

132. I securely placed my Cloud Fone cellular phone inside my pocket for
safekeeping;

133. Unfortunately, on February 7, 2019, my Cloud Fone cellular phone


containing my said SIM Card fell unnoticed from my pocket and despite all
diligent efforts exerted to locate my phone containing Sim Card but to no
avail;

134. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto signed below.

KNITTH BORJA CALISAY


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 21 st day of
February, 2022 personally appeared KNITTH BORJA CALISAY with his Passport No.
P0816848B issued on 26 Feb. 2019 by DFA NCR South and valid until 25 Feb. 2029,
who is personally known to me or identified by me through competent evidence of
identity as defined by the Notarial Rules as the person who signs the document and in
my presence taken an oath or affirmation before me as to such document. WITNESS
MY HAND AND SEAL ON THE DATE AND PLACE FIRST ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No.____;
Series of 2022.

Atty. IRINEO A. ANARNA


Notary Public for the Province of Cavite
Commission No. TG-20-009, valid until Dec. 31, 2022
Roll of Attorneys No. 32080
IBP No. 01666/ Lifetime Member
PTR No. 5498388 / 1-03-2022 / TMC
Republic of the Philippines) MCLE No. VII ---- 0003161 / May 15, 2021 / valid until April 14, 2025
No. 4 Madlansacay St., Poblacion 2, Silang, Cavite
Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS
I, JILLIANE MAE ARZAGA PELAEZ, Filipino, of legal age, single and presently
residing at Barangay Munting Ilog, Silang, Cavite, after having been duly sworn to in
accordance with law do hereby depose and say that:

135. I am a Globe Prepaid Subscriber with Sim Card number 0977-219-1972


which was attachsed to Xiaomi 10T Pro cellular phone;

136. I securely place my Xiaomi 10T Pro cellular phone containing my said
SIM Card inside my bag for safekeeping;

137. Unfortunately, on January 25, 2022, my Xiaomi 10T Pro cellular phone
containing my said SIM Card was stolen by unidentified culprit and despite
all diligent efforts exerted to locate the same but to no avail;

138. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto signed below.

JILLIANE MAE ARZAGA PELAEZ


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 31 st day of
January, 2022 personally appeared JILLIANE MAE ARZAGA PELAEZ with her
Passport Number P5805211A issued on 29 Jan 2018 by DFA NCR South and valid
until 28 Jan 2028, who is personally known to me or identified by me through
competent evidence of identity as defined by the Notarial Rules as the person who
signs the document and in my presence taken an oath or affirmation before me as to
such document. WITNESS MY HAND AND SEAL ON THE DATE AND PLACE FIRST
ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No.____;
Series of 2022.

Republic of the Philippines)


Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, JUN JUN JAEN ELARCO, Filipino, of legal age, single and presently residing
at Purok 2, Barangay Biga I, Silang, Cavite, after having been duly sworn to in
accordance with law do hereby depose and say that:
139. I am a Globe Subscriber with Sim Card number 0926-720-5100 which I
securely place inside my wallet for safekeeping;

140. Unfortunately, on December 29, 2021, my said SIM Card was misplaced
and despite all diligent efforts exerted to locate my Sim Card but to no avail;

141. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto signed below.

JUN JUN JAEN ELARCO


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 27 th day of
January, 2022 personally appeared JUN JUN JAEN ELARCO with his Philhealth ID
No. 08-201244219-6, who is personally known to me or identified by me through
competent evidence of identity as defined by the Notarial Rules as the person who
signs the document and in my presence taken an oath or affirmation before me as to
such document. WITNESS MY HAND AND SEAL ON THE DATE AND PLACE FIRST
ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No.____;
Series of 2022.

Republic of the Philippines)


Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, CRISTINE JOY BANDO BELEN, Filipino, of legal age, single and residing at
P. Montoya Street, Barangay San Vicente II, Silang, Cavite, after having been duly
sworn to in accordance with law do hereby depose and say that:

142. I am a Touch Mobile (TM) Subscriber with Sim Card number 0997-945-
2626 was attached in my Xiaomi Redmi S2 cellular phone;

143. I securely placed my Xiaomi Redmi S2 cellular phone inside my pocket


for safekeeping;
144. Unfortunately, on October 4, 2021, my Xiaomi Redmi S2 cellular phone
containing my said SIM Card was stolen by unidentified culprit and despite
all diligent efforts exerted to locate my phone containing Sim Card but to no
avail;

145. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto signed below.

CRISTINE JOY BANDO BELEN


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 13 th day of
December, 2021 personally appeared CRISTINE JOY BANDO BELEN with her TIN ID
No. 369-322-210-000 issued on 06/05/2020 by BIR, who is personally known to me or
identified by me through competent evidence of identity as defined by the Notarial
Rules as the person who signs the document and in my presence taken an oath or
affirmation before me as to such document. WITNESS MY HAND AND SEAL ON THE
DATE AND PLACE FIRST ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No.____;
Series of 2021.

Republic of the Philippines)


Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, JULIUS LARA LAROSA, Filipino, of legal age, married and residing at


Matrogate, Barangay Tibig, Silang, Cavite, after having been duly sworn to in
accordance with law do hereby depose and say that:

146. I am a Touch Mobile (TM) Subscriber with Sim Card number 0935-8065-
900 which was linked to my GCASH account and was attached in my Redmi
cellular phone;

147. I securely placed my Redmi cellular phone inside my bag for


safekeeping;

148. Unfortunately, on November 25, 2021, my Redmi cellular phone


containing my said SIM Card was stolen by unidentified culprit and despite
all diligent efforts exerted to locate my phone containing Sim Card but to no
avail;
149. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto signed below.

JULIUS LARA LAROSA


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 29 th day of
November, 2021 personally appeared JULIUS LARA LAROSA with his Professional
Driver’s License ID No. N01-04-266803 issued by LTO and valid until 2024/03/09, who
is personally known to me or identified by me through competent evidence of identity
as defined by the Notarial Rules as the person who signs the document and in my
presence taken an oath or affirmation before me as to such document. WITNESS MY
HAND AND SEAL ON THE DATE AND PLACE FIRST ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No.____;
Series of 2021.

Republic of the Philippines)


Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT

I, STEVEN MYCHAL DE LA GARZA, American citizen, of legal age, single and


residing at Peble Beach Golf Estate, Barangay Inchican, Silang, Cavite, after having
been duly sworn to in accordance with law do hereby depose and say that:

150. I am the holder and possessor of an IPHONE X with MEID:


35310010335009; SN: G6TYV6URKPHH; IMEI: 35 310010 335009-7 and
ICCID: Unknown;

151. On August 1, 2021, my girlfriend Angelika Mondelo Bacamante took and


stole my IPHONE X in my residence address above-mentioned. She
returned my IPHONE X to me, unfortunately, she changed all my information
of my emails in my said cellular phone including my iCloud ID, Facebook
account and other accounts installed in my IPHONE X and I was not able to
access all my accounts;

152. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve

IN WITNESS WHEREOF, I have hereunto signed below.


STEVEN MYCHAL DE LA GARZA
Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 24 th day of
November, 2021 personally appeared STEVEN MYCHAL DE LA GARZA with his Non-
Professional Driver’s License ID No. N26-19-033777 issued by LTO and valid until
2023/12/07, who is personally known to me or identified by me through competent
evidence of identity as defined by the Notarial Rules as the person who signs the
document and in my presence taken an oath or affirmation before me as to such
document. WITNESS MY HAND AND SEAL ON THE DATE AND PLACE FIRST
ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No. 311;
Series of 2021.

Republic of the Philippines)


Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, ALFREDO OCAMPO MAGLABE, Filipino, of legal age, widower and residing


at Bayacal Street Barangay Sabutan, Silang, Cavite, after having been duly sworn to in
accordance with law do hereby depose and say that:

153. I am a Globe Subscriber with Sim Card number 0915-335-7946;

154. Unfortunately, on November 19, 2021, my said SIM Card was misplaced
and despite all diligent efforts exerted to locate my Sim Card but to no avail;

155. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve

IN WITNESS WHEREOF, I have hereunto signed below.

ALFREDO OCAMPO MAGLABE


Affiant
BEFORE ME, a Notary Public for and in the Province of Cavite, this 23 rd day of
November, 2021 personally appeared ALFREDO OCAMPO MAGLABE with his UMID
CRN-006-0099-1048-3, who is personally known to me or identified by me through
competent evidence of identity as defined by the Notarial Rules as the person who
signs the document and in my presence taken an oath or affirmation before me as to
such document. WITNESS MY HAND AND SEAL ON THE DATE AND PLACE FIRST
ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No. 311;
Series of 2021.

Republic of the Philippines)


Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, MARI MAR B. PANGANIBAN, Filipino, of legal age, married and residing at


187 Purok 4, Barangay Bucal, Silang, Cavite, after having been duly sworn to in
accordance with law do hereby depose and say that:

156. I am a Talk N’ Text (TNT) Subscriber with Sim Card number 0910-104-
5428 which was attached to my Samsung A21S cellular phone;

157. Unfortunately, on October 23, 2021, my Samsung A21S cellular phone


containing my said SIM Card was misplaced and despite all diligent efforts
exerted to locate my phone containing the said Sim Card but to no avail;

158. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve

IN WITNESS WHEREOF, I have hereunto signed below.

MARI MAR B. PANGANIBAN


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 27 th day of
October, 2021 personally appeared MARI MAR B. PANGANIBAN with her Driver’s
License ID No. D18-20-101309 issued by LTO & valid until 2025/10/03, who is
personally known to me or identified by me through competent evidence of identity as
defined by the Notarial Rules as the person who signs the document and in my
presence taken an oath or affirmation before me as to such document. WITNESS MY
HAND AND SEAL ON THE DATE AND PLACE FIRST ABOVE-WRITTEN.
Doc. No. ____;
Page No.____;
Book No. 310;
Series of 2021.

Republic of the Philippines)


Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, DANIZA MAICA J. GARDUCE, Filipino, of legal age, single and residing at 94


Iba Ibaba, Barangay Iba, Silang, Cavite, after having been duly sworn to in accordance
with law do hereby depose and say that:

159. I am a Touch Mobile (TM) Subscriber with Sim Card number 0905-738-
5237 which was attached to my Iphone X cellular phone;

160. Unfortunately, on October 22, 2021, my Iphone X cellular phone


containing my said SIM Card was misplaced and despite all diligent efforts
exerted to locate my phone containing the said Sim Card but to no avail;

161. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve

IN WITNESS WHEREOF, I have hereunto signed below.

DANIZA MAICA J. GARDUCE


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 25 th day of
October, 2021 personally appeared DANIZA MAICA J. GARDUCE with her UMID
CRN-0113-0282528-3, who is personally known to me or identified by me through
competent evidence of identity as defined by the Notarial Rules as the person who
signs the document and in my presence taken an oath or affirmation before me as to
such document. WITNESS MY HAND AND SEAL ON THE DATE AND PLACE FIRST
ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No. 310;
Series of 2021.
Republic of the Philippines)
Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, MELCHOR JAMILE MAGPURI, Filipino, of legal age, married and residing at


277 Narra St., Barangay Kayquit III, Indang, Cavite, after having been duly sworn to in
accordance with law do hereby depose and say that:

162. I am a Globe Subscriber with Sim Card number 0927-2849-455 which


was attached to my Oppo A12 cellular phone;

163. Unfortunately, on October 10, 2021, my Oppo A12 cellular phone


containing my said SIM Card was misplaced and despite all diligent efforts
exerted to locate my phone containing the said Sim Card but to no avail;

164. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve

IN WITNESS WHEREOF, I have hereunto signed below.

MELCHOR JAMILE MAGPURI


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 14 th day of
October, 2021 personally appeared MELCHOR JAMILE MAGPURI with his Non-
Professional Driver’s License ID No. D18-20-008272 issued by LTO and valid until
2025/01/05, who is personally known to me or identified by me through competent
evidence of identity as defined by the Notarial Rules as the person who signs the
document and in my presence taken an oath or affirmation before me as to such
document. WITNESS MY HAND AND SEAL ON THE DATE AND PLACE FIRST
ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No. 310;
Series of 2021.

Republic of the Philippines)


Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, EDUARDO CUNANAN BALDONADO, Filipino, of legal age, married and


presently residing at Barangay Lalaan 1 st, Silang, Cavite, after having been duly sworn
to in accordance with law do hereby depose and say that:

165. I am a Globe Subscriber with Sim Card number 0956-682-2307 which


was attached to my Huawei cellular phone;

166. Unfortunately, today September 29, 2021, my Huawei cellular phone


containing my said SIM Card went missing and nowhere to be found and
despite all diligent efforts exerted to locate my phone containing the said Sim
Card but to no avail;

167. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve

IN WITNESS WHEREOF, I have hereunto signed below this 29 th day of


September, 2021 at Silang, Cavite.

EDUARDO CUNANAN BALDONADO


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 29 th day of
September, 2021 personally appeared EDUARDO CUNANAN BALDONADO with his
Professional Driver’s License ID No. N04-94-318204 issued by LTO and valid until
2022/03/21, who is personally known to me or identified by me through competent
evidence of identity as defined by the Notarial Rules as the person who signs the
document and in my presence taken an oath or affirmation before me as to such
document. WITNESS MY HAND AND SEAL ON THE DATE AND PLACE FIRST
ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No. 309;
Series of 2021.

Republic of the Philippines)


Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, VILMA TERCERO VIRATA, Filipino, of legal age, married and residing at


Barangay 9018 Gen. Emilio Aguinaldo Highway, Brgy. San Agustin I, Dasmariñas City,
Cavite, after having been duly sworn to in accordance with law do hereby depose and
say that:

168. I am a Globe Subscriber with Sim Card number 0915-973-9245 which


was link to my Gcash account and which was attached to my Samsung
keypad cellular phone;

169. However, on July 30, 2021, my Samsung keypad cellular phone


containing my said SIM Card went missing and nowhere to be found and
despite all diligent efforts exerted to locate my phone containing the said Sim
Card but to no avail;

170. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve

IN WITNESS WHEREOF, I have hereunto signed below this 15 th day of


September, 2021 at Silang, Cavite.

VILMA TERCERO VIRATA


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 15 th day of
September, 2021 personally appeared VILMA TERCERO VIRATA with her TIN ID No.
135-625-855-000 issued on 09-26-2018 by BIR, who is personally known to me or
identified by me through competent evidence of identity as defined by the Notarial
Rules as the person who signs the document and in my presence taken an oath or
affirmation before me as to such document. WITNESS MY HAND AND SEAL ON THE
DATE AND PLACE FIRST ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No. 308;
Series of 2021.

Republic of the Philippines)


Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, FULGENCIO MANZANO MANOY, Filipino, of legal age, married and residing


at 619 Bayacal St., Barangay Sabutan, Silang, Cavite, after having been duly sworn to
in accordance with law do hereby depose and say that:

171. I am a Smart Subscriber with SIM Card number 0919-650-1030 and a


Globe/TM Subscriber with Sim Card number 0945-139-5106 which was link
to my Gcash account and which was attached to my Samsung Duo cellular
phone;
172. However, on August 7, 2021, my Samsung Duo cellular phone containing
my said SIM Cards went missing and nowhere to be found and despite all
diligent efforts exerted to locate my phone containing the said Sim Cards but
to no avail;

173. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve

IN WITNESS WHEREOF, I have hereunto signed below this 14 th day of


September, 2021 at Silang, Cavite.

FULGENCIO MANZANO MANOY


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 14 th day of
September, 2021 personally appeared FULGENCIO MANZANO MANOY with his
Professional Driver’s License ID No. D18-09-003411, valid until 2023/01/16, who is
personally known to me or identified by me through competent evidence of identity as
defined by the Notarial Rules as the person who signs the document and in my
presence taken an oath or affirmation before me as to such document. WITNESS MY
HAND AND SEAL ON THE DATE AND PLACE FIRST ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No. 308;
Series of 2021.

Republic of the Philippines)


Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, NOREN ALEGRE PEROLA, Filipino, of legal age, married and residing


atBlock 11, Lot 3, Phase 3, Mabuhay Homes 2000, Paliparan II, Dasmariñas City,
Cavite, after having been duly sworn to in accordance with law do hereby depose and
say that:

174. I am an employee of Software Cellular Network Limited-Philippine Branch


with office address at 17th Floor ISquare Building, 15 Meralco Avenue, Pasig
City;

175. As such, I was issued by my said company a company phone one (1)
Samsung Galaxy A50s with Globe Postpaid SIM Card number 0917-712-
8071 and landline number (02) 7587-3176 which was attached to the said
cellular phone;
176. However, on August 18, 2021 about 8:00 o’clock in the evening, I went to
the Restaurant along Aguinaldo Highway, Silang, Cavite near the Estrella
hospital to eat and I brought with me my said Samsung Galaxy A50s with
Globe Postpaid SIM Card number 0917-712-8071 and landline number (02)
7587-3176;

177. Unfortunately, upon reaching home, I noticed that the Samsung Galaxy
A50s with Globe Postpaid SIM Card number 0917-712-8071 and landline
number (02) 7587-3176 went missing and nowhere to be found and despite
all diligent efforts exerted to locate the phone containing the said Sim Card
but to no avail;

178. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve

IN WITNESS WHEREOF, I have hereunto signed below this 3 rd day of


September, 2021 at Silang, Cavite.

NOREN ALEGRE PEROLA


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 3 rd day of
September, 2021 personally appeared NOREN ALEGRE PEROLA with her UMID
CRN-0033-1466923-1, who is personally known to me or identified by me through
competent evidence of identity as defined by the Notarial Rules as the person who
signs the document and in my presence taken an oath or affirmation before me as to
such document. WITNESS MY HAND AND SEAL ON THE DATE AND PLACE FIRST
ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No. 308;
Series of 2021.

Republic of the Philippines)


Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, KERVIN CARLO POBLETE MENDOZA, Filipino, of legal age, married and


residing at 071 Blumentritt St., Barangay Tubuan III, Silang, Cavite, after having been
duly sworn to in accordance with law do hereby depose and say that:

179. I am a Touch Mobile Subscriber with SIM Card number 0997-905-0914


which was attached to my Samsung J7 Prime cellular phone;

180. I securely placed my Samsung J7 Prime cellular phone containing my


said SIM card inside my jacket’s pocket for safekeeping;

181. However, yesterday July 15,2021, my Samsung J7 Prime cellular phone


containing my said SIM Card fell unnoticed from my jacket’s pocket and
despite all diligent efforts exerted to locate my phone containing the said Sim
Card but to no avail;

182. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve

IN WITNESS WHEREOF, I have hereunto signed below this 16 th day of July,


2021 at Silang, Cavite.

KERVIN CARLO POBLETE MENDOZA


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 16 th day of
July, 2021 personally appeared KERVIN CARLO POBLETE MENDOZA with his Non-
Professional Driver’s License ID No. D18-18-006116 issued by LTO and valid until
2022/11/11, who is personally known to me or identified by me through competent
evidence of identity as defined by the Notarial Rules as the person who signs the
document and in my presence taken an oath or affirmation before me as to such
document. WITNESS MY HAND AND SEAL ON THE DATE AND PLACE FIRST
ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No. 306;
Series of 2021.

Republic of the Philippines)


Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, NELSON B. ESCOSES, Filipino, of legal age, married and residing at


Barangay Pulong Bunga, Silang, Cavite, after having been duly sworn to in accordance
with law do hereby depose and say that:

183. I am a Globe Subscriber with SIM Card number 0945-541-0491 which


was attached to my Oppo F5 cellular phone;

184. I securely placed my Oppo F5 cellular phone containing my said SIM


card inside my pocket for safekeeping;

185. However, on June 29, 2021, my Oppo F5 cellular phone containing my


said SIM Card fell unnoticed from my pocket and despite all diligent efforts
exerted to locate my phone containing the said Sim Card but up to this
moment I failed to locate it;

186. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve
IN WITNESS WHEREOF, I have hereunto signed below this 3 rd day of July,
2021 at Silang, Cavite.

NELSON B. ESCOSES
Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 3 rd day of
July, 2021 personally appeared NELSON B. ESCOSES with his Philippine Coast
Guard ID No. CG21-E-3356 issued on May 27, 2021 by Philippine Coast Guard and
valid until May 25, 2024, who is personally known to me or identified by me through
competent evidence of identity as defined by the Notarial Rules as the person who
signs the document and in my presence taken an oath or affirmation before me as to
such document. WITNESS MY HAND AND SEAL ON THE DATE AND PLACE FIRST
ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No. 306;
Series of 2021.

Republic of the Philippines)


Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, ROMEL EMAAS GUMAL, Filipino, of legal age, single and residing at B-3, L-
5, Blessed Ville, Sampaloc II, Dasmariñas City, Cavite, after having been duly sworn to
in accordance with law do hereby depose and say that:

187. I am a Globe Subscriber with SIM Card number 0915-956-6049 which


was attached to my Vivo Y91 cellular phone;

188. I securely placed my Vivo Y91 cellular phone containing my said SIM
card inside my bag for safekeeping;

189. However, on June 20, 2021, my Vivo Y91 cellular phone containing my
said SIM Card was stolen by unidentified culprit and despite all diligent
efforts exerted to locate my phone containing the said Sim Card but up to
this moment I failed to locate it;

190. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve
IN WITNESS WHEREOF, I have hereunto signed below this 29 th day of June,
2021 at Silang, Cavite.

ROMEL EMAAS GUMAL


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 29 th day of
June, 2021 personally appeared ROMEL EMAAS GUMAL with his UMID CRN-0111-
5382955-1, who is personally known to me or identified by me through competent
evidence of identity as defined by the Notarial Rules as the person who signs the
document and in my presence taken an oath or affirmation before me as to such
document. WITNESS MY HAND AND SEAL ON THE DATE AND PLACE FIRST
ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No. 305;
Series of 2021.

Republic of the Philippines)


Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, ANGELO ATIENZA HONOR, Filipino, of legal age, single and residing at 2580
Sitio Hanopol, Barangay Kaong, Silang, Cavite, after having been duly sworn to in
accordance with law do hereby depose and say that:

191. I am a Touch Mobile Subscriber with SIM Card number 0967-509-0247


which is registered to my GCash account under my name Ghio Honor;

192. Sometimes in February 2021, I detached the said SIM Card in my cellular
phone and the same was misplaced;

193. Despite all diligent efforts exerted to locate the said Sim Card but up to
this moment I failed to locate it;

194. Likewise, in my said GCash account, I registered my name as GHIO


HONOR (nickname), whereas my true and real name is ANGELO ATIENZA
HONOR;
195. Thus, the names ANGELO ATIENZA HONOR and GHIO HONOR
(nickname) are referring to one and the same person;

196. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve

IN WITNESS WHEREOF, I have hereunto signed below this 27 th day of May,


2021 at Silang, Cavite.

ANGELO ATIENZA HONOR


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 27 th day of
May, 2021 personally appeared ANGELO ATIENZA HONOR with his TIN ID No. 327-
769-419-000 issued on 06/21/2019 by BIR, who is personally known to me or identified
by me through competent evidence of identity as defined by the Notarial Rules as the
person who signs the document and in my presence taken an oath or affirmation
before me as to such document. WITNESS MY HAND AND SEAL ON THE DATE
AND PLACE FIRST ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No. 304;
Series of 2021.

Republic of the Philippines)


Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, PRINCESS PEL QUILAS, Filipino, of legal age, married and residing at 22


Bliss Barangay Biga II, Silang, Cavite, after having been duly sworn to in accordance
with law do hereby depose and say that:

197. I am a Smart Subscriber with SIM Card number 0949-776-5224 which I


securely placed inside my bag for safekeeping;

198. However, on March 04, 2021, my said SIM Card went missing and
nowhere to be found and I believe that same fell unnoticed from my bag;

199. Despite all diligent efforts exerted to locate the said Sim Card but up to
this moment I failed to locate it;
200. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve

IN WITNESS WHEREOF, I have hereunto signed below this 10 th day of March,


2021 at Silang, Cavite.

PRINCESS PEL QUILAS


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 10 th day of
March, 2021 appears the person of: PRINCESS PEL QUILAS with her UMID CRN-
0111-1792460-9, who is personally known to me or identified by me through
competent evidence of identity as defined by the Notarial Rules as the person who
signs the document and in my presence taken an oath or affirmation before me as to
such document. WITNESS MY HAND AND SEAL ON THE DATE AND PLACE FIRST
ABOVE-WRITTEN.

Doc. No. 430;


Page No. 87;
Book No. 301;
Series of 2021.

Republic of the Philippines)


Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, SANJEEV KUMAR, Indian National, of legal age, single and residing at


Barangay Malaking Tatiao, Silang, Cavite, after having been duly sworn to in
accordance with law do hereby depose and say that:

201. I am a Touch Mobile (TM) Subscriber with SIM Card number 0936-704-
2855 which was attached to my Nokia 3310 cellular phone;

202. I securely placed my said Cellular phone containing my said SIM card
inside the pocket of my jeans for safekeeping;

203. However, on December 25, 2020, my Nokia 3310 cellular phone


containing my said SIM Card fell unnoticed from my pocket;
204. Despite all diligent efforts exerted to locate the said phone containing the
said Sim Card but up to this moment I failed to locate it;

205. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve

IN WITNESS WHEREOF, I have hereunto signed below this 28 th day of


December, 2020 at Silang, Cavite.

SANJEEV KUMAR
Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 28 th day of
December, 2020 appears the person of: SANJEEV KUMAR with his Non-Professional
Driver’s License ID No. C02-19-011722 issued by LTO and valid until 2024-01-15, who
is personally known to me or identified by me through competent evidence of identity
as defined by the Notarial Rules as the person who signs the document and in my
presence taken an oath or affirmation before me as to such document. WITNESS MY
HAND AND SEAL ON THE DATE AND PLACE FIRST ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No.____;
Series of 2020.

Republic of the Philippines)


Silang, Cavite ) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, CHARMAINE MOSTOLES GANNABAN, Filipino, of legal age, single and


residing at 208 EM’s Barrio Barangay Tartaria, Silang, Cavite, after having been duly
sworn to in accordance with law do hereby depose and say that:

206. I am a Globe Prepaid Subscriber with SIM Card number 0916-772-3253


and a Touch Mobile Subscriber with SIM Card number 0905-151-4679 which
was attached to my Xiaomi Redmi Note 7 cellular phone;

207. I securely placed my said Cellular phone containing my said SIM cards
inside the pocket of my bag for safekeeping;

208. However, on February 29, 2020, my Xiaomi Redmi Note 7 cellular phone
containing my said SIM Cards went missing and nowhere to be found;

209. Despite all diligent efforts exerted to locate the said phone containing the
said Sim Cards but up to this moment I failed to locate it;
210. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve

IN WITNESS WHEREOF, I have hereunto signed below this 28 th day of


December, 2020 at Silang, Cavite.

CHARMAINE MOSTOLES GANNABAN


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 28 th day of
December, 2020 appears the person of: CHARMAINE MOSTOLES GANNABAN with
her TIN ID No. 732-230-613-000 issued on 10-23-2018 by BIR, who is personally
known to me or identified by me through competent evidence of identity as defined by
the Notarial Rules as the person who signs the document and in my presence taken an
oath or affirmation before me as to such document. WITNESS MY HAND AND SEAL
ON THE DATE AND PLACE FIRST ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No.____;
Series of 2020.

Republic of the Philippines)


Silang, Cavite ) S.S.
x---------------------------------x

AFFIDAVIT OF LOSS

I, CRISTOREY VICTOR RODELAS CAACBAY, Filipino, of legal age, single and


residing at 9022 E. Gonzales St., Brgy. Poblacion Uno, Silang, Cavite, after having
been duly sworn to in accordance with law do hereby depose and say that:

211. I am the holder and possessor of a RFID Card for my motor vehicle one
(1) Toyota Vios 1.5G Gas A Sedan bearing plate number NAC4143;

212. I securely placed my said RFID Card inside my car for safekeeping;

213. However, on December 7, 2020, my RFID Card went missing and


nowhere to be found;

214. Despite all diligent efforts exerted to locate the same but up to this
moment I failed to locate it;

215. I executed this affidavit to attest to the truth and veracity of the foregoing
statements; to apprise proper authorities concerned for the loss of my RFID
Card and to request for its replacement and for all legal intents and purposes
this may serve
IN WITNESS WHEREOF, I have hereunto signed below this 22 nd day of
December, 2020 at Silang, Cavite.

CRISTOREY VICTOR RODELAS CAACBAY


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 22 nd
day of December, 2020 appears the person of: CRISTOREY VICTOR RODELAS
CAACBAY with his Non-Professional Driver’s License ID No. N04-14-012514 issued
by LTO and valid until 2022-05-20, who is personally known to me or identified by me
through competent evidence of identity as defined by the Notarial Rules as the person
who signs the document and in my presence taken an oath or affirmation before me as
to such document. WITNESS MY HAND AND SEAL ON THE DATE AND PLACE
FIRST ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No.____;
Series of 2020.

Republic of the Philippines)


Silang, Cavite ) S.S.
x---------------------------------x

AFFIDAVIT OF LOSS

I, ANDREW DEDAL TOLENTINO, Filipino, of legal age, single and residing at


21 Bliss Barangay Biga II, Silang, Cavite, after having been duly sworn to in
accordance with law do hereby depose and say that:

216. I am a Smart Subscriber with SIM Card number 0961-873-7979 and a


Globe Subscriber with SIM Card number 0916-207-8452 which was attached
to my Real Me 6 Pro cellular phone;

217. I securely placed my said Cellular phone containing my said SIM cards
inside the pocket of my jeans for safekeeping;

218. However, on November 9, 2020, my Real Me 6 Pro cellular phone


containing my said SIM Cards were stolen by unidentified culprit;

219. Despite all diligent efforts exerted to locate the said phone containing the
said Sim Cards but up to this moment I failed to locate it;

220. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve
IN WITNESS WHEREOF, I have hereunto signed below this 11 th day of
November, 2020 at Silang, Cavite.

ANDREW DEDAL TOLENTINO


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 11 th
day of November, 2020 appears the person of: ANDREW DEDAL TOLENTINO with
his Passport No. P2526981B issued on July 12, 2019 by DFA NCR South and valid
until July 11, 2029, who is personally known to me or identified by me through
competent evidence of identity as defined by the Notarial Rules as the person who
signs the document and in my presence taken an oath or affirmation before me as to
such document. WITNESS MY HAND AND SEAL ON THE DATE AND PLACE FIRST
ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No.____;
Series of 2020.

Republic of the Philippines)


Silang, Cavite ) S.S.
x---------------------------------x

AFFIDAVIT OF LOSS

I, ROMMEL DEL BARRIO PUNA, Filipino, of legal age, married and residing at
Benitez Salazar St., Barangay Tubuan I, Silang, Cavite, after having been duly sworn
to in accordance with law do hereby depose and say that:

221. I am a Globe Subscriber with SIM Card numbers 0966-667-5424 and


0966-496-7561 which was attached to my Vivo V9 and Samsung Galaxy
Note 4 cellular phones;

222. I securely placed my said Cellular phones containing my said SIM cards
under my table in my clinic at my address above-mentioned;

223. However, on October 31, 2020, my Vivo V9 and Samsung Galaxy Note 4
cellular phones containing my said SIM Cards were missing and nowhere to
be found;

224. Despite all diligent efforts exerted to locate the said phones containing
the said Sim Cards but up to this moment I failed to locate it;

225. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve
IN WITNESS WHEREOF, I have hereunto signed below this 2 nd day of
November, 2020 at Silang, Cavite.

ROMMEL DEL BARRIO PUNA


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 2 nd
day of November, 2020 appears the person of: ROMMEL DEL BARRIO PUNA with
his PRC License ID No. 0010055 issued by PRC and valid until 06-24-2022, who is
personally known to me or identified by me through competent evidence of identity as
defined by the Notarial Rules as the person who signs the document and in my
presence taken an oath or affirmation before me as to such document. WITNESS MY
HAND AND SEAL ON THE DATE AND PLACE FIRST ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No.____;
Series of 2020.

Republic of the Philippines)


Silang, Cavite ) S.S.
x---------------------------------x

AFFIDAVIT OF LOSS

I, BRENTON RUI, Papua New Guinea citizen, of legal age, single and residing
at J.P. Rizal Paredes Street Barangay Sabutan, Silang, Cavite, after having been duly
sworn to in accordance with law do hereby depose and say that:

226. I am a Smart Subscriber with SIM Card number 0939-341-0034 which


was attached to my Oppo cellular phone;

227. However, on September 8, 2020, my Oppo cellular phone containing my


said SIM Card went missing and nowhere to be found;

228. Despite all diligent efforts exerted to locate the said phone containing the
said Sim Card but up to this moment I failed to locate it;

229. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve
IN WITNESS WHEREOF, I have hereunto signed below this 21 st day of October,
2020 at Silang, Cavite.

BRENTON RUI
Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 2 1st
day of October, 2020 appears the person of: BRENTON RUI with his Papua New
Guinea Passport No. E174662 issued on May 7, 2018 by Port Moresby and valid until
May 7, 2023, who is personally known to me or identified by me through competent
evidence of identity as defined by the Notarial Rules as the person who signs the
document and in my presence taken an oath or affirmation before me as to such
document. WITNESS MY HAND AND SEAL ON THE DATE AND PLACE FIRST
ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No.____;
Series of 2020.

Republic of the Philippines)


Silang, Cavite ) S.S.
x---------------------------------x

AFFIDAVIT OF LOSS

I, JAMESTER BAON ROMERO, Filipino of legal age, married and residing at


Barangay Santol, Silang, Cavite, after having been duly sworn to in accordance with
law do hereby depose and say that:

230. I am a Smart Subscriber with SIM Card number 0929-826-7283 and a


Touch Mobile Subscriber with SIM Card number 0935-228-5466 which was
attached to my Oppo F7 cellular phone;

231. I securely placed my Oppo F7 cellular phone containing my said SIM


Cards to my pocket for safekeeping;

232. However, on August 29, 2020, my Oppo F7 cellular phone containing my


said SIM Cards fell unnoticed from my pocket and despite all diligent efforts
exerted to locate the said phone containing the said Sim Cards but up to this
moment I failed to locate it;

233. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve
IN WITNESS WHEREOF, I have hereunto signed below this 2 nd day of
September, 2020 at Silang, Cavite.

JAMESTER BAON ROMERO


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 2 nd
day of September, 2020 appears the person of: JAMESTER BAON ROMERO with his
UMID CRN-0113-0001522-8, who is personally known to me or identified by me
through competent evidence of identity as defined by the Notarial Rules as the person
who signs the document and in my presence taken an oath or affirmation before me as
to such document. WITNESS MY HAND AND SEAL ON THE DATE AND PLACE
FIRST ABOVE-WRITTEN.

Doc. No. ____;


Page No.____;
Book No.____;
Series of 2020.

Republic of the Philippines)


Silang, Cavite ) S.S.
x-------------------------------------x

AFFIDAVIT OF LOSS

I, ERIKA ANA L. BAUTISTA, Filipino, of legal age, single and residing at 110
J. P. Rizal St., San Vicente 1, Silang, Cavite, after having been duly sworn to in
accordance with law do hereby depose and say that:

I am the holder of a GCash Mastercard with account number 5496-2700-3509-


1239 and SIM Card with mobile number 9777927220 which I put and keep in a white
envelope and placed it in my bag;

Last August 11, 2019, I discovered that my said Gcash Master card and SIM
card were missing in my bag and despite all diligent efforts exerted to locate it but up
to this moment we failed to locate it;

I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve
IN WITNESS WHEREOF, I have hereunto signed below this 12 th day of
September, 2019 at Silang, Cavite.

ERIKA ANA L. BAUTISTA


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 12 th
day of September, 2019 appears the person of: ERIKA ANA L. BAUTISTA with her
VIN 2118-0401B-E1087ELB20000 issued by COMELEC Silang, Cavite, who is
personally known to me or identified by me through competent evidence of identity as
defined by the Notarial Rules as the person who signs the document and in my
presence taken an oath or affirmation before me as to such document. WITNESS MY
HAND AND SEAL ON THE DATE AND PLACE FIRST ABOVE-WRITTEN.

Doc. No. _______;


Page No._______;
Book No. ______;
Series of 2019

Republic of the Philippines)


Silang, Cavite ) S.S.
x-------------------------------------x

AFFIDAVIT OF LOSS

I, PIA LORRAINE P. TIGBAO, Filipino, of legal age, married and residing at


Sabutan Paliparan Road, Silang, Cavite, after having been duly sworn to in
accordance with law do hereby depose and say that:

234. I am a holder and possessor of the following items:


a. One (1) Apple IPad;
b. One (1) Samsung Cellphone;
c. One (1) IPhone 4S;
d. One (1) Laptop Asus;
e. One (1) Samsung Tablet;
f. Cash amounting to Php11,000.00 Philippine Currency;

235. That on or about 2:00 to 4:00 o’clock in the morning, unidentified culprit
was forcibly enter into our house while we are still sleeping and the above-
mentioned items were stolen and despite all diligent efforts exerted to locate
the said items but up to this moment I failed to locate it;
236. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve

IN WITNESS WHEREOF, I have hereunto signed below this 27 th day of January


2018 at Silang, Cavite.

PIA LORRAINE P. TIGBAO


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 27 th
day of January, 2018 appears the person of: PIA LORRAINE P. TIGBAO with her
Non-Professional Driver’s License No. D18-16-005637 issued by LTO Tagaytay City,
Cavite and valid until 2018-09-12, who is personally known to me or identified by me
through competent evidence of identity as defined by the Notarial Rules as the person
who signs the document and in my presence taken an oath or affirmation before me as
to such document. WITNESS MY HAND AND SEAL ON THE DATE AND PLACE
FIRST ABOVE-WRITTEN.

Doc. No. _______;


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

Republic of the Philippines)


Silang, Cavite ) S.S.
x-------------------------------------x

AFFIDAVIT OF LOSS

I, OHIL KWEON, Korean, of legal age, single and residing at Riviera Golf and
Resort Brgy. Biluso, Silang, Cavite, after having been duly sworn to in accordance with
law do hereby depose and say that:

237. I am a Globe Prepaid Subscriber with bearing SIM Card number 0927-
952-0510 which was attached to my Samsung S6 Plus;
238. However, on November 25, 2017, my said cellular phone containing the
said SIM CARD went missing and nowhere to be found and despite all
diligent efforts exerted to locate the said Phone containing the said Sim Card
but up to this moment we failed to locate it;

239. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve

IN WITNESS WHEREOF, I have hereunto signed below this 1 st day of


December 2017 at Silang, Cavite.

OHIL KWEON
Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 1 st day
of December, 2017 appears the person of: OHIL KWEON with his Passport No.
M07382419 issued on April 21, 2009 by Ministry of Foreign Affairs and Trade and valid
until April 21, 2019, who is personally known to me or identified by me through
competent evidence of identity as defined by the Notarial Rules as the person who
signs the document and in my presence taken an oath or affirmation before me as to
such document. WITNESS MY HAND AND SEAL ON THE DATE AND PLACE
FIRST ABOVE-WRITTEN.

Doc. No. _______;


Page No._______;
Book No. ______;
Series of 2017.

Republic of the Philippines)


Silang, Cavite ) S.S.
x-------------------------------------x

AFFIDAVIT OF LOSS

I, ROBERT P. MENDOZA, Filipino, of legal age, single and residing at J.P. Rizal
St., Brgy. 5, Silang, Cavite, after having been duly sworn to in accordance with law do
hereby depose and say that:
240. I am a Globe Prepaid Subscriber with bearing SIM Card number 0917-
152-7931 which was attached to my Huawei cellular phone;

241. However, on November 10, 2017, my mother, LILIBETH P. MENDOZA,


borrowed the said cellular phone containing the said SIM CARD,
unfortunately, she misplaced the same and despite all diligent efforts exerted
to locate the said Phone containing the said Sim Card but up to this moment
we failed to locate it;

242. I executed this affidavit to attest to the tr uth and veracity of the foregoing
statements and for all legal intents and purposes this may serve

IN WITNESS WHEREOF, I have hereunto signed below this 14 th day of


November, 2017 at Silang, Cavite.

ROBERT P. MENDOZA
Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 14 th
day of November, 2017 appears the person of: ROBERT P. MENDOZA with his TIN
ID No. 497-001-500-000 issued by BIR on February 2, 2017, who is personally known
to me or identified by me through competent evidence of identity as defined by the
Notarial Rules as the person who signs the document and in my presence taken an
oath or affirmation before me as to such document. WITNESS MY HAND AND SEAL
ON THE DATE AND PLACE FIRST ABOVE-WRITTEN.

Doc. No. _______;


Page No._______;
Book No. ______;
Series of 2017.

Republic of the Philippines)


Silang, Cavite ) S.S.
x-------------------------------------x

AFFIDAVIT OF LOSS
I, WENLONG LIN, Chinese , of legal age, married and residing at Aguinaldo Hi-
Way Buho, Silang, Cavite, after having been duly sworn to in accordance with law do
hereby depose and say that:

243. I am a Globe Prepaid Subscriber with bearing SIM Card number 0917-
669-9777 and 0917-669-9888 which is attached to my VIVO 5 cellular
phone;

244. However, on October 29, 2017, my phone containing the said Sim Cards
fell unnoticed from my pocket and despite all my diligent efforts exerted to
locate the said Phone containing the said Sim Cards but up to this moment I
failed to locate it;

245. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve

IN WITNESS WHEREOF, I have hereunto signed below this 2 nd day of


November, 2017 at Silang, Cavite.

WENLONG LIN
Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 2 nd
day of November, 2017 appears the person of: LIN, WENLONG with his Passport ID
No. E99356I30 issued on May 10, 2017 by Embassy of P.R. China in the Philippines
and valid until May 9, 2027, who is personally known to me or identified by me through
competent evidence of identity as defined by the Notarial Rules as the person who
signs the document and in my presence taken an oath or affirmation before me as to
such document. WITNESS MY HAND AND SEAL ON THE DATE AND PLACE
FIRST ABOVE-WRITTEN.

Doc. No. _______;


Page No._______;
Book No. ______;
Series of 2017.

Republic of the Philippines)


Silang, Cavite ) S.S.
x-------------------------------------x
AFFIDAVIT OF LOSS

I, MAY ANN L. MADRONA, Filipino, of legal age, single and residing at 47 Bliss
Biga 2, Silang, Cavite, after having been duly sworn to in accordance with law do
hereby depose and say that:

246. I am a Talk N’ Text Subscriber with bearing SIM Card number 0918-722-
2733 which is attached to my Nokia Phone;

247. However, recently, my phone containing the said Sim Cards went
missing and despite all my diligent efforts exerted to locate the said Phone
containing the said Sim Cards but up to this moment I failed to locate it;

248. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve

IN WITNESS WHEREOF, I have hereunto signed below this 25 th day of


September, 2017 at Silang, Cavite.

MAY ANN L. MADRONA


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 25 th
day of September, 2017 appears the person of: MAY ANN L. MADRONA with her
TIN: 188-418-130-000 issued on 10-01-2012 by BIR, who is personally known to me or
identified by me through competent evidence of identity as defined by the Notarial
Rules as the person who signs the document and in my presence taken an oath or
affirmation before me as to such document. WITNESS MY HAND AND SEAL ON
THE DATE AND PLACE FIRST ABOVE-WRITTEN.

Doc. No. _______;


Page No._______;
Book No. 246;
Series of 2017.

Republic of the Philippines)


Silang, Cavite ) S.S.
x-------------------------------------x

AFFIDAVIT OF LOSS
I, CRIZ ANDREA A. PAYAD, Filipino, of legal age, single and residing at 120
Ulat, Silang, Cavite, after having been duly sworn to in accordance with law do hereby
depose and say that:

249. I am a Globe Prepaid Subscriber with bearing SIM Card number 0917-
695-0693 which is attached to my IPhone 6S Plus;

250. However, on September 20,2017, when I was at Punchline Comedy Bar


located at Quezon Avenue, my phone containing the said Sim Cards was
stolen by unidentified culprit;

251. Despite all my diligent efforts exerted to locate the said Phone containing
the said Sim Cards but up to this moment I failed to locate it;

252. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve

IN WITNESS WHEREOF, I have hereunto signed below this 22 nd day of


September, 2017 at Silang, Cavite.

CRIZ ANDREA A. PAYAD


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 22 nd
day of September, 2017 appears the person of: CRIZ ANDREA A. PAYAD with her
Passport ID No. EC4473745 issued on 23 Jun 15 by DFA NCR South and valid until
22 Jun 20, who is personally known to me or identified by me through competent
evidence of identity as defined by the Notarial Rules as the person who signs the
document and in my presence taken an oath or affirmation before me as to such
document. WITNESS MY HAND AND SEAL ON THE DATE AND PLACE FIRST
ABOVE-WRITTEN.

Doc. No. _______;


Page No._______;
Book No. 246;
Series of 2017.

Republic of the Philippines)


Silang, Cavite ) S.S.
x-------------------------------------x

AFFIDAVIT OF LOSS
I, MARY GRACE M. PACANA, Filipino, of legal age, married and residing at
Block 42 Lot 15 Buklod Bahayan Tartaria, Silang, Cavite, after having been duly sworn
to in accordance with law do hereby depose and say that:

253. I am a Smart and Talk N’ Text Subscriber with bearing SIM Card number
0928-798-2785 and 0948-716-1526 which is used in Smart Money Padala
attached to my Samsung Galaxy S;

254. However, July 22, 2017, my phone containing the said Sim Cards fell
unnoticed from my pocket;

255. Despite all my diligent efforts exerted to locate the said Phone containing
the said Sim Cards but up to this moment I failed to locate it;

256. I executed this affidavit to attest to the truth and veracity of the foregoing
statements; to apprise proper authorities concerned for the loss of my
above-mentioned SIM card with bearing number 0928-798-2785 and 0948-
716-1526 and to request for its replacement with the same bearing number
and for all legal intents and purposes this may serve

IN WITNESS WHEREOF, I have hereunto signed below this 9 th day of August,


2017 at Silang, Cavite.

MARY GRACE M. PACANA


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 9 th
day of August, 2017 appears the person of: MARY GRACE M. PACANA with her
UMID No. CRN-0033-8962128-8, who is personally known to me or identified by me
through competent evidence of identity as defined by the Notarial Rules as the person
who signs the document and in my presence taken an oath or affirmation before me as
to such document. WITNESS MY HAND AND SEAL ON THE DATE AND PLACE
FIRST ABOVE-WRITTEN.

Doc. No. ________;


Page No. _______;
Book No. 244;
Series of 2017.

Republic of the Philippines)


Silang, Cavite ) S.S.
x-------------------------------------x
AFFIDAVIT OF LOSS

I, OHIL KWEON, Korean, of legal age, married and residing at Block 34 Lot 12
Riviera Golf Club, Silang, Cavite, after having been duly sworn to in accordance with
law do hereby depose and say that:

257. I am a Globe Subscriber with bearing SIM Card number 0936-955-7250


which is attached to my Samsung Galaxy S5;

258. However, last week, my phone containing the said Sim Card went
missing and nowhere to be found;

259. Despite all my diligent efforts exerted to locate the said Phone containing
the said Sim Card but up to this moment I failed to locate it;

260. I executed this affidavit to attest to the truth and veracity of the foregoing
statements; to apprise proper authorities concerned for the loss of my
above-mentioned SIM card with bearing number 0936-955-7250 and to
request for its replacement with the same bearing number and for all legal
intents and purposes this may serve

IN WITNESS WHEREOF, I have hereunto signed below this 27 th day of June,


2017 at Silang, Cavite.

OHIL KWEON
Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 27 th
day of June, 2017 appears the person of: OHIL KWEON with his Passport No.
M07382419 issued by Ministry of Foreign Affairs and Trade, Republic of Korea and
expiring on April 21, 2019, who is personally known to me or identified by me through
competent evidence of identity as defined by the Notarial Rules as the person who
signs the document and in my presence taken an oath or affirmation before me as to
such document. WITNESS MY HAND AND SEAL ON THE DATE AND PLACE
FIRST ABOVE-WRITTEN.

Doc. No. ________;


Page No. _______;
Book No. ______;
Series of 2017.
Republic of the Philippines)
Silang, Cavite ) S.S.
x-------------------------------------x

AFFIDAVIT OF LOSS

I, GILDA M. BACABIS, Filipino, of legal age, single and residing at Block 2 Lot
36 Fatima Heights, Samplac III, Dasmariñas City, Cavite, after having been duly sworn
to in accordance with law do hereby depose and say that:

261. I am a Globe Subscriber with bearing SIM Card number 0905-523-3421;

262. Yesterday July 26, 2016, I converted my Sim Card into Nano Sim Card;

263. However, upon cutting the said Sim Card to convert it into Nano Sim
Card, I accidentally cut and damaged the same;

264. I executed this affidavit to attest to the truth and veracity of the foregoing
statements; to apprise proper authorities concerned for the lost of my above-
mentioned SIM card number 0905-523-3421 and to request for its
replacement and for all legal intents and purposes this may serve

IN WITNESS WHEREOF, I have hereunto signed below this 27 th day of July,


2016 at Silang, Cavite.

GILDA M. BACABIS
Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 27 th
day of July, 2016 appears the person of: GILDA M. BACABIS with her Voter’s ID No.
2106-0518B-H0679GMB20000 issued by COMELEC Dasmariñas City, Cavite, who is
personally known to me or identified by me through competent evidence of identity as
defined by the Notarial Rules as the person who signs the document and in my
presence taken an oath or affirmation before me as to such document. WITNESS MY
HAND AND SEAL ON THE DATE AND PLACE FIRST ABOVE-WRITTEN.

Republic of the Philippines)


Silang, Cavite ) S.S.
x-------------------------------------x
AFFIDAVIT OF LOSS

I, FRITZ GERALD C. DAGALEA, Filipino, of legal age, married and residing at


Brgy. Iba, Silang, Cavite, after having been duly sworn to in accordance with law do
hereby depose and say that:

1. I am a Smart Subscriber with bearing SIM Card number 0929-861-0055;

2. My said sim is attached to my MyPhone Cellular Phone ;

3. However, on October 23, 2016, my said phone containing my said Sim Card
was stolen by unidentified culprit;

4. I exerted all my diligent efforts to locate the same but to no avail;

5. I executed this affidavit to attest to the truth and veracity of the foregoing
statements; to apprise proper authorities concerned for the loss of my above-
mentioned SIM card number 0929-861-0055 and to request for its replacement
and for all legal intents and purposes this may serve

IN WITNESS WHEREOF, I have hereunto signed below this 26 th day of


December, 2016 at Silang, Cavite.

FRITZ GERALD C. DAGALEA


Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 26 th
day of December, 2016 appears the person of: FRITZ GERALD C. DAGALEA with
his Postal ID No. 3445179 issued by PPC Silang, Cavite with Police Clearance
Certificate No. 1,603 issued on January 5, 2016 issued by PNP Pangasinan, who is
personally known to me or identified by me through competent evidence of identity as
defined by the Notarial Rules as the person who signs the document and in my
presence taken an oath or affirmation before me as to such document. WITNESS MY
HAND AND SEAL ON THE DATE AND PLACE FIRST ABOVE-WRITTEN.

Doc. No ______; Atty. IRINEO A. ANARNA


Page No. ______; Notary Public
Book No. 217; No. 4 Madlansacay St., Poblacion 2
Series of 2016 Silang, Cavite
Until December 31, 2016
Roll of Attorneys No. 32080
PTR No. 7196040/ 1-04-2016/ TMC
IBP No. 01666/ Lifetime Member
Commission No. TG-14-002

I, GENALYN R. POBLETE, Filipino, of legal age, married and residing at 104


Buho, Amadeo, Cavite, after being duly sworn to in accordance to law do hereby
declare that:

1. I am a member of Tulay sa Pag-unlad, Inc. (TSPI) with business address


at Indang, Cavite;

2. The said cooperative issued to me a SIM card and TxtBilis card with card
number 503785 000631938 2. Recently, I made balance inquiry involving
my loan granted to me by TSPI, after said inquiry I took from my celfone
the said SIM Card, unfortunately, the SIM card mentioned above got lost
and despite all my diligent efforts exerted to locate the said SIM card but
to no avail;

3. Likewise, I made also balance inquiry thru ATM machine for my loan
balance, I tried three times but I cannot made inquiry, hence, I am
requesting proper authorities concerned to grant me a new PIN for my
TxtBilis card and new SIM card in lieu of the lost one;

4. I executed this affidavit to attest to the truth and veracity of the foregoing
statements and for all legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto signed below, this 5 th day of


May, 2015 here at Silang, Cavite.

GENALYN R. POBLETE
Affiant

BEFORE ME, a Notary Public for and in the Province of Cavite, this 5 th
day of May, 2015 appears the person of: GENALYN R. POBELTE with her
community tax certificate number 11787129 issued at Silang, Cavite issued on
05/05/2015, presenting the above Affidavit of Loss, who is personally known to me or
identified by me through competent evidence of identity as defined by the Notarial
Rules as the person who signs the document and in my presence taken an oath or
affirmation before me as to such document. WITNESS MY HAND AND SEAL ON
THE DATE AND PLACE FIRST ABOVE-WRITTEN.
Doc. No. _______
Page No. _______
Book No. _______
Series of 2015

Republic of the Philippines)


Silang, Cavite ) S.S.
x-------------------------------------x

AFFIDAVIT OF LOSS

I, MARVIN Y. POBLETE, Filipino, of legal age, single and now residing at Brgy.
Munting Ilog, Silang, Cavite, after having been duly sworn to in accordance with law
do hereby depose and say that:

3. I am a depositor of East West Bank, Katipunan Branch with account no.


027-6805896-5 ;

4. As such, I was issued an ATM Card by the said bank;

5. On January 15, 2014, I noticed that my said ATM Card was missing;

6. I exerted all my diligent efforts exerted to locate the same but all efforts
proved futile and to no avail;

7. I executed this affidavit to attest to the truth and veracity of the foregoing
statements, to apprise proper authorities of the loss of my ATM Card and to request
for its replacement and for all legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto signed this 17 th day of January 2014


in Silang, Cavite.
MARVIN Y. POBLETE
Affiant

BEFORE ME, this 17th day of January 2014 in Silang, Cavite, personally
appears the affiant, MARVIN Y. POBLETE with his Voter’s ID No. 2118-0307B-
D2285MYP10000, issued by Comelec, Silang, Cavite, known to me or identified by me
to be the Affiant through a competent evidence identity in accordance with the Notarial
Rules, and signed the foregoing Affidavit in my presence and took an oath before me
as to the foregoing Affidavit.

WITNESS MY HAND AND SEAL ON THE PLACE AND DATE ABOVE-


STATED.

Doc. No ____; Atty. IRINEO A. ANARNA


Page No. ____; Notary Public for the Province of Cavite
Book No. 182; Until December 31, 2014
Series of 2014. Roll of Attorneys No. 32080
PTR No. 4529884/ 1-02-2014/ TMC
IBP No. 01666/ Lifetime Member

Republic of the Philippines)


Silang, Cavite ) S.S.
x-------------------------------------x

AFFIDAVIT OF LOSS

I, ROLET E. ROSEL, Filipino, of legal age, single and residing at Manggahan,


Maguyam, Silang, Cavite, after having been duly sworn to in accordance with law do
hereby depose and say that:

1. I am an employee at H.S. Craft Manufacturing Corporation located at


No. 1 Maguyam Road, Silang, Cavite;

2. As such, the said Company issued me an ATM Card duly issued by


BDO;

3. However, last April 2, 2014, when I was at RCBC - GMA, Cavite


Branch to withdraw using the ATM Card, the ATM machine
malfunctioned and as such I was unable to get my ATM Card;

4. The RCBC management said that the ATM Card will be redeemed the
day after the said malfunctioning of the machine but up to this moment
they failed to return the same.

5. I executed this affidavit to attest to the truth and veracity of the


foregoing statements, to apprise proper authorities for the lost of my ATM Card and to
request for its replacement and for all legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto signed this 8 th day of April 2014 in


Silang, Cavite.
ROLET E. ROSEL
Affiant

BEFORE ME, this 8TH day of April, 2014 in Silang, Cavite, personally appears the
affiant, ROLET E. ROSEL with her Voter’s ID No. 2118-0025B-B0278RER20000,
presenting to me the foregoing Affidavit of Loss, known to me or identified by me to be
the Affiant through a competent evidence identity in accordance with the Notarial
Rules, and signed the foregoing Affidavit in my presence and took an oath before me
as to the foregoing Affidavit.

WITNESS MY HAND AND SEAL ON THE PLACE AND DATE ABOVE-


STATED.

Doc No. ____


Page No. ___
Book No. 185;
Series of 2014.

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