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affidavit of loss IDs.-TOPINIO

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16 views1 page

affidavit of loss IDs.-TOPINIO

Uploaded by

Mark
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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REPUBLIC OF THE PHILIPPINES )

Province of Isabela ) S.S.


Municipality of Jones )

AFFIDAVIT OF LOSS

I, JOECEL S. TOPINIO, of legal age, Filipino, married, and a resident of


Napaliong, Jones, Isabela, after having been sworn in accordance with law,
hereby deposes and states the following THAT:

1. I am in possession of the private and/or government issued ID/s


such as:
-PhilHealth ID
-SSS ID
-Suki Card ID- Palawan Express
2. Sometime on August 30, 2024, the said IDs were dropped
unnoticed while I was walking at the Jones Public Market-
Barangay 1, Jones, Isabela;
3. I exerted all efforts to locate the same but can no longer locate
the same, and thus I am of the firm belief that they are now lost
beyond recovery;
4. As such, I am executing this affidavit of loss to attest to the truth
of the foregoing facts and to support my application for the
replacement of the said loss IDs.

IN WITNESS WHEREOF, I have hereunto set my hand this 4th day of


September 2024 at Jones, Isabela, Philippines.

JOECEL S. TOPINIO
Affiant

SUBSCRIBED AND SWORN to before me this 4th day of September 2024 in


Jones, Isabela.

WITNESS MY HAND AND SEAL..


Doc. No. 101;
Book No.21;
Page No. III;
Series of 2024.

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