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    Affidavit of Loss

    Uploaded by

    Richmond Rilloraza
    The document is an affidavit of loss filed by Ruben Ramirez Balangue. It details that he lost his wallet containing his senior ID card and other items. He is filing this affidavit to support his request to replace his lost senior ID card.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Affidavit of Loss

    Uploaded by

    Richmond Rilloraza
    6 views1 page
    The document is an affidavit of loss filed by Ruben Ramirez Balangue. It details that he lost his wallet containing his senior ID card and other items. He is filing this affidavit to support his request to replace his lost senior ID card.

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    affidavit of loss

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    The document is an affidavit of loss filed by Ruben Ramirez Balangue. It details that he lost his wallet containing his senior ID card and other items. He is filing this affidavit to support his request to replace his lost senior ID card.

    Copyright:

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

    Affidavit of Loss

    Uploaded by

    Richmond Rilloraza
    The document is an affidavit of loss filed by Ruben Ramirez Balangue. It details that he lost his wallet containing his senior ID card and other items. He is filing this affidavit to support his request to replace his lost senior ID card.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    Republic of the Philippines)

    City of Baguio ) S.S.


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

    AFFIDAVIT OF LOSS

    I, Ruben Ramirez Balangue, Filipino, of legal age and a resident of 248 Evangelista St Road
    2 Leonila Hill Baguio City Philippines, after being duly sworn in accordance with law, depose and
    state:

    1. That I am the owner of Senior ID with number 25856, issued on June 5, 2014 at Marikina City;

    2. That on March 20, 2023, I lost my wallet with my cards and Identification including my Senior
    ID;

    3. That despite diligent search and efforts to locate said cellular phone, I could not find the same
    such that I now believe that said is now lost beyond recovery together with the aforesaid Senior ID Card;

    As such, I am executing this Affidavit of Loss to attest to the truth of the foregoing and in support
    of my request / application for the replacement of the said Identification Card.

    IN WITNESS WHEREOF I have hereunto set my hand this ____ day of _____ 2023
    at____________, Philippines.

    _______________________________________
    RUBEN RAMIREZ BALANGUE
    Affiant
    Tin No.: 221-721-727

    SUBCRIBED AND SWORN TO before me this ___________________ in


    _________________, Philippines, affiant exhibiting to me her competent evidence of identity by
    way of a Philippine Passport issued at______________ on___________________

    Doc. No. ____


    Page No. ____
    Book No. ____
    Series of 20__

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