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Affidavit of Loss (Osca Id of Inocentes Homeres)

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Republic of the Philippines )

City of Tacloban )

AFFIDAVIT OF LOSS

I, MYLENE DUMAS POSTRERO, Filipino, of legal age and a resident of Brgy. 100, San
Roque, Tacloban City, Philippines after having been duly sworn to in accordance with law do hereby
depose and say:

1. That my grandfather, INOCENTES CABAOBAO HOMERES is a bonafide and active


member of the Senior Citizen Association (OSCA) of Tacloban City with ID No. 3602336;

2. That as such he was issued a Senior Citizen ID by the LGU of Tacloban City;

3. That unfortunately said ID was lost without his knowledge and believed to have
been misplaced;

4. That for all intents and legal purposes, it is considered it lost and beyond recovery;

5. That I am executing this affidavit to attest the truth and veracity of all the foregoing
statements.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 6th day of January
2022 at Tacloban City, Philippines.

MYLENE DUMAS POSTRERO


Affiant
UMID: 0113-0696382-4
Issued by SSS

SUBSCRIBED AND SWORN to before me this 6th day of January 2022 at Tacloban City,
Philippines.

Doc. No. _____


Page No. _____
Book No. _____
Series of 2022.

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