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    Affidavit of Loss (Driver's License)

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    Judiel Pareja
    Jade Maribojo executed an affidavit of loss stating that: (1) he was previously issued a driver's license which he used to keep in his pocket; (2) about a week ago while on his way home he accidentally left his driver's license; and (3) despite his efforts to locate the misplaced ID, he was unable to find it and the driver's license is now beyond recovery, so he is executing this sworn statement to obtain a replacement for the lost document.

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    Affidavit of Loss (Driver's License)

    Uploaded by

    Judiel Pareja
    89 views1 page
    Jade Maribojo executed an affidavit of loss stating that: (1) he was previously issued a driver's license which he used to keep in his pocket; (2) about a week ago while on his way home he accidentally left his driver's license; and (3) despite his efforts to locate the misplaced ID, he was unable to find it and the driver's license is now beyond recovery, so he is executing this sworn statement to obtain a replacement for the lost document.

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    Jade Maribojo executed an affidavit of loss stating that: (1) he was previously issued a driver's license which he used to keep in his pocket; (2) about a week ago while on his way home he accidentally left his driver's license; and (3) despite his efforts to locate the misplaced ID, he was unable to find it and the driver's license is now beyond recovery, so he is executing this sworn statement to obtain a replacement for the lost document.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    89 views1 page

    Affidavit of Loss (Driver's License)

    Uploaded by

    Judiel Pareja
    Jade Maribojo executed an affidavit of loss stating that: (1) he was previously issued a driver's license which he used to keep in his pocket; (2) about a week ago while on his way home he accidentally left his driver's license; and (3) despite his efforts to locate the misplaced ID, he was unable to find it and the driver's license is now beyond recovery, so he is executing this sworn statement to obtain a replacement for the lost document.

    Copyright:

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

    REPUBLIC OF THE PHILIPPINES )

    CITY OF MANDAUE
    ) S.c.

    AFFIDAVIT OF LOSS
    I, JADE MARK V. MARIBOJO, of legal age, single, Filipino and a
    resident of Sitio Lupa, Highway, Mandaue City, Cebu, after being sworn to
    in accordance with law, depose and say that:
    1.
    2.
    pocket;

    I was previously issued a drivers license;


    I used to keep the above-mentioned evidence of identity in my

    3.
    About a week ago, while I was on my way home, I accidentally
    left the said evidence of identity;
    4.
    find it;
    5.

    I tried all efforts to locate the misplaced ID but I was not able to
    The drivers license is now beyond recovery; and

    6.
    I am executing this sworn statement, as required, to enable me
    to obtain a replacement for the said lost document.
    IN WITNESS WHEREOF, I have hereunto set my hand this 14 th day
    of June 2016, in the City of Mandaue, Philippines.

    JADE MARK V. MARIBOJO


    Affiant
    JURAT
    SUBSCRIBED and sworn to before me, this 14th day of June 2016, in
    the City of Mandaue, affiant personally known to the undersigned and
    exhibited to me his Philippine Passport with number EC0002430 issued by
    DFA- Cebu and valid up to 14 Jan 2019.
    Doc. No. ___;
    Page No. ___;
    Book No. ___;
    Series of 2016.
    Page 1 of 1

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