Affidavit of Loss - Id

REPUBLIC OF THE PHILIPPINES }
PANIQUI, TARLAC } S.S.
AFFIDAVIT OF LOSS
I, ANGELO VILLANUEVA ALICAYCAY, of legal age, Filipino, single and

with residence at San Antonio, Gerona Tarlac, after having been duly sworn to
in accordance with law hereby depose and state that:
1. I am a holder of a Postal Identification Card, which I usually keep inside

my wallet;
2. That sometime on July 2019, when I was organizing the contents of my

wallet, I discovered that my Postal I.D. was missing. I tried to look for it in
my other wallets but I did not find the same.
3. That despite diligent search and efforts to locate the said identification
card including the above said identification card but I could not find the
same such that I believe that it is now lost beyond recovery;
4. That as such, I am executing this affidavit to attest to the foregoing facts.
IN WITNESS WHEREOF, I have hereunto set my hand this 2nd day of

January 2020 in the Province of Tarlac, Philippines.
ANGELO VILLANUEVA ALICAYCAY

Affiant
SUBSCRIBED AND SWORN TO before me this 2nd day of January 2020

in the Province of Tarlac, Philippines, affiant exhibited to me his TIN I.D. with
number 749-808-112-000.
ATTY. JENY ANNE D. MADAMBA

Notary Public until December 31, 2020
Carriedo St. Paniqui, Tarlac 2307
Roll No. 69184/May 31, 2017
PTR No. 0114859; January 02, 2020; Paniqui, Tarlac
IBP No. 017673; July 15, 2017; Tarlac Chapter
MCLE Compliance No. VI-0011044
AFFIDAVIT OF LOSS
I, MICHELLE ERIN KATE V. CORTEZ, of legal age, Filipino and with

residence at Paniqui, Tarlac, after having been duly sworn to in accordance with
law hereby depose and state that:
1. I am a registered pharmacist and was issued an PRC I.D. with Registration

No. 0077618 issued by the Professional Regulation Commission of Manila;
2. I usually keep the said PRC I.D. and other identification cards inside my
wallet;

wallet, I discovered that my PRC I.D was missing. I tried to look for it in
card I could not find the same such that I believe that it is now lost beyond
recovery;
IN WITNESS WHEREOF, I have hereunto set my hand this 15th day of

August 2019 in the Province of Tarlac, Philippines.
MICHELLE ERIN KATE V. CORTEZ

Affiant
SUBSCRIBED AND SWORN TO before me this 15th day of August 2019

in the Province of Tarlac, Philippines.
Doc. No. ___;

Page No. ___;
Book No. ___;
Series of 2019.
MUNICIPALITY OF PANIQUI, TARLAC } S.S.
AFFIDAVIT OF LOSS
I, SAMUEL DASCO MANUEL, of legal age, Filipino, married and with

residence at Carbonel Gerona, Tarlac, after having been duly sworn to in
accordance with law hereby depose and state that:
1. I am a registered teacher and was issued an PRC identification card with

Registration No. 1080710, which is valid until April 12, 2022 and was
issued by the Professional Regulation Commission of Manila;
wallet;
3. That sometime on November 18, 2019, when I was organizing the contents
of my wallet, I discovered that my PRC I.D was missing. I tried to look for
it in my other wallets but I did not find the same.
recovery;

December 2019 in the Province of Tarlac, Philippines.
SAMUEL DASCO MANUEL

Affiant
SUBSCRIBED AND SWORN TO before me this 17th day of December 2019

in the Province of Tarlac, Philippines, affiant exhibited to me his UMID I.D. with
number CRN-021-1366-1955-5.
Doc. No. ___;

Page No. ___;
Book No. ___;
Series of 2019.
AFFIDAVIT OF LOSS
I, ANGELO VILLANUEVA ALICAYCAY, of legal age, Filipino, single and

with residence at San Antonio, Gerona Tarlac, after having been duly sworn to
in accordance with law hereby depose and state that:
5. I am a holder of a Postal Identification Card, which I usually keep inside

my wallet;

wallet, I discovered that my Postal I.D. was missing. I tried to look for it in
card including the above said identification card but I could not find the
same such that I believe that it is now lost beyond recovery;
IN WITNESS WHEREOF, I have hereunto set my hand this 2nd day of

January 2020 in the Province of Tarlac, Philippines.
ANGELO VILLANUEVA ALICAYCAY

Affiant
SUBSCRIBED AND SWORN TO before me this 2nd day of January 2020

in the Province of Tarlac, Philippines, affiant exhibited to me his TIN I.D. with
number 749-808-112-000.
ATTY. JENY ANNE D. MADAMBA

Notary Public until December 31, 2020
Carriedo St. Paniqui, Tarlac 2307
Roll No. 69184/May 31, 2017
PTR No. 0114859; January 02, 2020; Paniqui, Tarlac
IBP No. 017673; July 15, 2017; Tarlac Chapter
MCLE Compliance No. VI-0011044
AFFIDAVIT OF LOSS
I, MICHELLE ERIN KATE V. CORTEZ, of legal age, Filipino and with

residence at Paniqui, Tarlac, after having been duly sworn to in accordance with
law hereby depose and state that:
6. I am a registered pharmacist and was issued an PRC I.D. with Registration

No. 0077618 issued by the Professional Regulation Commission of Manila;
wallet;

wallet, I discovered that my PRC I.D was missing. I tried to look for it in
recovery;
10. That as such, I am executing this affidavit to attest to the foregoing

facts.

August 2019 in the Province of Tarlac, Philippines.
MICHELLE ERIN KATE V. CORTEZ

Affiant
SUBSCRIBED AND SWORN TO before me this 15th day of August 2019

in the Province of Tarlac, Philippines.
Doc. No. ___;

Page No. ___;
Book No. ___;
Series of 2019.
MUNICIPALITY OF PANIQUI, TARLAC } S.S.
AFFIDAVIT OF LOSS
I, CHRISTIAN RAY NEBRE VIRAY, of legal age, Filipino, married and with
residence at Brgy. Pinasling, Gerona, Tarlac, after having been duly sworn to in
accordance with law hereby depose and state that:
1. I am a holder of Persons With Disabilities (PWD) identification card;
2. I usually keep the said PWD I.D. and other identification cards inside my
wallet;
3. That sometime on Febrauary 02, 2020, when I was organizing the contents
of my wallet, I discovered that my PWD I.D. was missing. I tried to look for
it in my other wallets but I did not find the same.
recovery;

February 2020 in the Province of Tarlac, Philippines.
CHRISTIAN RAY NEBRE VIRAY

Affiant
SUBSCRIBED AND SWORN TO before me this 5th day of February 2020

in the Province of Tarlac, Philippines, affiant exhibited to me his Driver’s License
with number C11-02-157111.
Doc. No. ___;

Page No. ___;
Book No. ___;
Series of 2020.

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REPUBLIC OF THE PHILIPPINES }

PANIQUI, TARLAC } S.S.

I, ANGELO VILLANUEVA ALICAYCAY, of legal age, Filipino, single and

1. I am a holder of a Postal Identification Card, which I usually keep inside

2. That sometime on July 2019, when I was organizing the contents of my

4. That as such, I am executing this affidavit to attest to the foregoing facts.

IN WITNESS WHEREOF, I have hereunto set my hand this 2nd day of

ANGELO VILLANUEVA ALICAYCAY

SUBSCRIBED AND SWORN TO before me this 2nd day of January 2020

ATTY. JENY ANNE D. MADAMBA

I, MICHELLE ERIN KATE V. CORTEZ, of legal age, Filipino and with

1. I am a registered pharmacist and was issued an PRC I.D. with Registration

3. That sometime on July 2019, when I was organizing the contents of my

5. That as such, I am executing this affidavit to attest to the foregoing facts.

IN WITNESS WHEREOF, I have hereunto set my hand this 15th day of

MICHELLE ERIN KATE V. CORTEZ

SUBSCRIBED AND SWORN TO before me this 15th day of August 2019

Doc. No. ___;

I, SAMUEL DASCO MANUEL, of legal age, Filipino, married and with

1. I am a registered teacher and was issued an PRC identification card with

5. That as such, I am executing this affidavit to attest to the foregoing facts.

IN WITNESS WHEREOF, I have hereunto set my hand this 17th day of

SAMUEL DASCO MANUEL

SUBSCRIBED AND SWORN TO before me this 17th day of December 2019

Doc. No. ___;

I, ANGELO VILLANUEVA ALICAYCAY, of legal age, Filipino, single and

5. I am a holder of a Postal Identification Card, which I usually keep inside

6. That sometime on July 2019, when I was organizing the contents of my

8. That as such, I am executing this affidavit to attest to the foregoing facts.

IN WITNESS WHEREOF, I have hereunto set my hand this 2nd day of

ANGELO VILLANUEVA ALICAYCAY

SUBSCRIBED AND SWORN TO before me this 2nd day of January 2020

ATTY. JENY ANNE D. MADAMBA

I, MICHELLE ERIN KATE V. CORTEZ, of legal age, Filipino and with

6. I am a registered pharmacist and was issued an PRC I.D. with Registration

8. That sometime on July 2019, when I was organizing the contents of my

10. That as such, I am executing this affidavit to attest to the foregoing

IN WITNESS WHEREOF, I have hereunto set my hand this 15th day of

MICHELLE ERIN KATE V. CORTEZ

SUBSCRIBED AND SWORN TO before me this 15th day of August 2019

Doc. No. ___;

1. I am a holder of Persons With Disabilities (PWD) identification card;

5. That as such, I am executing this affidavit to attest to the foregoing facts.

IN WITNESS WHEREOF, I have hereunto set my hand this 5th day of

CHRISTIAN RAY NEBRE VIRAY

SUBSCRIBED AND SWORN TO before me this 5th day of February 2020

Doc. No. ___;

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