Documents

Affidavit of Loss Atm, Id

Description
AFFIDAVIT
Categories
Published
of 8
All materials on our website are shared by users. If you have any questions about copyright issues, please report us to resolve them. We are always happy to assist you.
Related Documents
Share
Transcript
   ATTY. LANOEL S. LAJA Notary Public Until December 31, 2017 Notarial Commission No. 70-2016 Roll No. 65138; 6/ 17/ 2016 IBP No. 1063800; 01/10/2017 PTR No. 1387463; 01/03/2017 Zamboana Cit Republic of the Philippines) City of Zamboanga-----------) S.S.  x--------------------------------x AFFIDAVIT OF LOSS I,  KRESLER G. ROMERO, of legal age, Filipino, married and a resident of Old Housing, Bongao, Tawi-Tawi, Philippines, after being duly sworn to in accordance with law, hereby depose and state:  That I am a regular employee of Department of Agrarian Reform Provincial Office - Tawi-Tawi, designated as OIC-PARO II. As such, I am a member of GSIS and was issued UMID Card.  That last month, out of inadvertence and excusable neglect said UMID Card was misplaced and nowhere to be found;  That despite diligent search and efforts to locate the said UMID Card, the same cannot be found and is now considered lost beyond recovery;  That I am executing this Affidavit of Loss to attest to the truth of the foregoing and to support my request for issuance of the another Card in lieu of the lost one. IN WITNESS WHEREOF , I have hereunto set my hand this 25 th day of  July, 2017 at Zamboanga City, Philippines. KRESLER G. ROMERO Affiant SUBSCRIBED AND SWORN  to before me this 25 th  day of July, 2017, in the City of Zamboanga, Philippines, Affiant exhibited to me his ID No.__________ issued on ___________________ at Zamboanga City. Doc. No. ____ Page No. ____ Book No.____ SERIES OF 2017   ATTY. LANOEL S. LAJA Notary Public Until December 31, 2017 Notarial Commission No. 70-2016 Roll No. 65138; 06/ 17/ 2016 IBP No. 1063800; 01/10/2017 PTR No. 1387463; 01/03/2017 Zamboana Cit Republic of the Philippines) City of Zamboanga-----------) S.S.  x--------------------------------x AFFIDAVIT OF LOSS I,  Hanafjan Que Ibañez, of legal age, Filipino, single and a resident of Ilang-ilang drive Villa Sta. Maria, Zamboanga City, Philippines, after being duly sworn to in accordance with law, hereby depose and state:  That I am a Registered Nurse. As such, I was issued by PRC a Certificate of Registration with number 0861032 on 07 July,2015;  That out of inadvertence and excusable neglect said Certificate of Registration was misplaced and nowhere to be found;  That despite diligent search and efforts to locate the said Certificate of Registration, the same cannot be found and is now considered lost beyond recovery;  That I am executing this Affidavit of Loss to attest to the truth of the foregoing and to support my request for issuance of another Certificate of Registration in lieu of the lost one. IN WITNESS WHEREOF , I have hereunto set my hand this 27 th  day of  July, 2017 in the City of Zamboanga , Philippines. Hanafjan Que Ibañez Affiant SUBSCRIBED AND SWORN  to before me this 27 th  day of July, 2017, in the City of Zamboanga, Philippines, Affiant exhibited to me his/her ID No.  __________________ issued on ________________ at Zamboanga City. Doc. No. _____ Page No. _____    Book No.______ SERIES OF 2017   ATTY. LANOEL S. LAJA Notary Public Until December 31, 2017 Notarial Commission No. 70-2016 Roll No. 65138; 06/ 17/ 2016 IBP No. 1063800; 01/10/2017 PTR No. 1387463; 01/03/2017, Zamboanga City Republic of the Philippines) City of Zamboanga-----------) S.S.  x--------------------------------x AFFIDAVIT OF LOSS I,  PHILIP BENJAMIN S. MICUBO, of legal age, Filipino, single and a resident of Guiwan, Zamboanga City, Philippines, after being duly sworn to in accordance with law, hereby depose and state:  That I am a Licensed Real Estate Broker. As such, I regularly receive and process documents and or payments for and in behalf of my clients;  That in the process of making the reservation for a House and Lot for client- Maricel Estoquia-Wee, I paid and was issued an Official Receipts (O.R.) for the sum of TEN THOUSAND (P 10,000.00) PESOS only by Camella, San Ezekiel, Zamboanga City in the said client’s name;   That the said O.R. must be surrendered to Camella, San Ezekiel Zamboanga City in order to refund the sum thereto;  That the said O.R. can no longer be surrendered because the same was misplaced in my possession due to excusable neglect and/ or inadvertence;  That I have exerted diligent effort in the search for the said O.R. but all prove futile and that the same is now considered lost beyond recovery;  That I am executing this Affidavit of Loss to attest to the truth of the foregoing and to support my request for refund of the amount covered by the said O.R. sans its submission; IN WITNESS WHEREOF , I have hereunto set my hand this 15 th  day of  June, 2017 at Zamboanga City, Philippines. PHILIP BENJAMIN S. MICUBO Affiant SUBSCRIBED AND SWORN  to before me this 15 th  day of June, 2017, in the City of Zamboanga, Philippines, Affiant personally known to me. Doc. No. _____ Page No. _____    Book No.______ SERIES OF 2017     ATTY. LANOEL S. LAJA Notary Public Until December 31, 2017 Notarial Commission No. 70-2016 Roll No. 65138; 06/ 17/ 2016 IBP No. 1063800; 01/10/2017 PTR No. 1387463; 01/03/2017 Zamboana Cit Republic of the Philippines) City of Zamboanga-----------) S.S.  x--------------------------------x AFFIDAVIT OF LOSS I,  AMELITA A. BEJERANO, of legal age, Filipino, married and a resident of Don Alfaro St., Tetuan, Zamboanga City, Philippines, after being duly sworn to in accordance with law, hereby depose and state:  That I am already a Senior Citizen. As such, I was issued Senior Citizen ID Card Number 021344 on 08-04-2010 at Zamboanga City;  That out of inadvertence and excusable neglect said Senior Citizen ID Card was misplaced and nowhere to be found;  That despite diligent search and efforts to locate the said Senior Citizen ID Card the same cannot be found and is now considered lost beyond recovery;  That I am executing this Affidavit of Loss to attest to the truth of the foregoing and to support my request for issuance of another Senior Citizen ID Card in lieu of the lost one. IN WITNESS WHEREOF , I have hereunto set my hand this ___day of  ________, 2017 in the City of Zamboanga , Philippines. AMELITA A. BEJERANO Affiant SUBSCRIBED AND SWORN  to before me this ___day of _________, 2017, in the City of Zamboanga, Philippines, Affiant exhibited to me her ID No.  __________________ issued on ________________ at Zamboanga City. Doc. No. _____ Page No. _____    Book No.______ SERIES OF 2017
We Need Your Support
Thank you for visiting our website and your interest in our free products and services. We are nonprofit website to share and download documents. To the running of this website, we need your help to support us.

Thanks to everyone for your continued support.

No, Thanks