For requesting replacement of lost items and official documents (IDs, Credit Cards, etc.)Full description
lossFull description
form138Full description
Affidavit of Loss Pay Slip
sample
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Sample Document
REPUBLIC OF THE PHILIPPINES) PHILIPPINES) _______________ _______________________ _________ _ ) S.S.
AFFIDAVIT OF LOSS I, JULIO A. POBLADOR, married, Filipino, of legal age, i!" po#!al addre## a! Nag#$lang, Lemer%, Iloilo, P"ilippine# af!er "a&ing 'een #orn in a((ordan(e i!" la "ere'% depo#e and #!a!e
*. T"a! I am a "older of a +lo'e Prepaid Sim Card No. -*/**01 2. T"a! T"a! I $#$all% $#$all% p$! #aid #im #im (ard in#ide in#ide m% (ell$lar (ell$lar p"one p"one for $#e1 3. T"a! I lo#! lo#! !"e !"e #aid #aid p"one "ere !"e !"e #ai #aid #im #im (ard ard a# in#er!ed on 4ar(" *2, 2*51 0. T"a! de#pi!e de#pi!e diligen! diligen! #ear(" #ear(" and e6or!# e6or!# !o lo(a!e #aid #aid (ard and (ell$lar p"one, I (o$ld no! 7nd i!1
. T"a! T"a! I am e8e($!i e8e($!ing ng !"i# !"i# a9da&i! a9da&i! !o a!!e#! a!!e#! !o !"e !r$!" !r$!" of !"e foregoing fa(!# and !o re:$e#! for a repla(emen! of m% +lo'e prepaid #im (ard. IN WITNESS WHEREOF, I "a&e "ere$n!o #e! m% "and !"i# *3!" da% of 4ar(" 2* a! Iloilo Ci!%, P"ilippine#.
