REPUBLIC OF THE PHILIPPINES) MUNIC UNICIP IPAL ALIT ITY Y OF CAMI CAMILI LING NG ) PROVINCE OF TARLAC )
AFFIDAVIT OF LOSS JOSELITO O CELESTI CELESTIAL AL PERA, JR., 31 years I, JOSELIT years old, old, single single,, Filipi Filipino no citizen, and resident of Jacinto St., Pobalcion D, Camiling, Tarlac, Pilippines, !nder oat, do ereby depose and state THAT:
1. I am a older older of a Postal Postal Identi Identity ty Card, Card, te n!mber n!mber of "ic "ic I can no longer recall, iss!ed by te Pilippine Postal Corporation "ic I !s!ally #eep in my "allet$ %. &ece cent ntly ly,, "il "ile e I "as "as orga organi nizi zing ng te te co cont nten ents ts of my "all "allet et,, I disco'ered tat te said postal identity card "as " as missing so I loo#ed for it in my oter "allets and oter dra"ers inside o!r o!se b!t noting "as fo!nd. (lso, I as#ed my o!seold members if tey a'e seen my te same b!t all ans"ered in te negati'e$ 3. (ll (ll te te dili dilige gent nt effo effort rts s e)er e)erte ted d to locat locate e my post postal al iden identi tity ty card card pro'ed f!tile$ ence, I no" consider te same as lost and beyond reco'ery$ *. +y Postal Postal Identit Identity y card card "as ne'er ne'er pledged pledged or !sed to sec!re sec!re any obligation$ . I am e)ec!ting e)ec!ting tis (ffida'it (ffida'it to attest attest to te tr!t tr!t of te foregoing foregoing statements and for all legal intents and p!rposes it may ser'e. IN WITNESS WHEREOF, I ere!nto affi)ed my signat!re tis 1 t day of December, %-1 at Camiling, Tarlac, Pilippines.
JOSELITO C. PERA, JR. (ffiant SUBSCR SUBSCRIBED IBED AND SWORN SWORN to before me on te date and place indicated abo'e. (ffiant e)ibited to me is /nified +!lti0P!rpose ID Card "it "it C&0-1 C&0-1110 110*231 *231-2 -203 03 iss iss!ed !ed by te Soc Social ial Sec!ri Sec!rity ty System System of te Pilippines.
Doc. No.________; Page No._________; Book No._________; Series of 2016.
Doc. No.________; Page No._________; Book No._________; Series of 2016.
