For requesting replacement of lost items and official documents (IDs, Credit Cards, etc.)Full description
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Affidavit of Loss Pay Slip
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Sample Document
Affidavit of Loss (Company ID) Template
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REPUBLIC OF THE PHILIPPINES ) CITY OF MANILA )SS. X-----------------------------------------X
AFFIDAVIT OF LOSS
I, (insert name here), here), Filipino, of legal age, single and a resident of (insert of (insert address here), here), Philippines, after having duly sworn to in accordance with law, hereby depose and say that: 1.
I am the holder of a Subscriber Identity Modeule (SIM) Card Number (insert number here) issued by Globe Telecom;
2.
I lost said SIM card on (insert date here) and that I exerted all efforts to locate the same but I could not remember exactly where I placed/left it and it is considered lost for all legal purposes;
3.
Said SIM Card was not confiscated by any officer of the law by reason of any violation of any law, ordinance, presidential decree or rules and regulation of anything; and neither was it offered as collateral for any loan;
4.
I am executing this affidavit to attest to the foregoing facts;
IN WITNESS WHEREOF, I have hereunto set my hand this ______________ ______________ in in the City of ___________, ___________, Philippin Philippines. es. (Insert Name of Affiant) Affiant
SUBSCRIBED AND SWORN to before me this _______________ in the City of ____________ Philippines, affiant having exhibited to me (his or her) community tax certificate with no. _______________ issued on ______________ at _____________. __________ ___. Doc. No.____; Page No.____; Book No.____; Series of 2013.