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Affidavit of Loss - Multi Cards (Alain Jude R Vidal)

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Republic of the Philippines )

Province of Negros Oriental) S.S.


Municipality of Sibulan )

AFFIDAVIT OF LOSS

I, ALAIN JUDE R. VIDAL, of legal age, single and with residence and postal
address at Barangay Looc, Sibulan, Negros Oriental, Philippines, after having been sworn to
in accordance with law, do hereby depose and state:

That I have been issued a Non-Professional Driver’s License by the Land


Transportation Office, Dumaguete City and a G-Cash Account Card, ATM Card issued by
Metrobank and a Company ID;

That on September 27, 2020, I placed my wallet where my Non-Professional Driver’s


License, my GCash Account Card bearing mobile number 09452514238, my Metrobank
ATM Card and my company ID were inserted in the side pocket of my motorcycle. After I
while I noticed that my wallet where I inserted my valuable cards cannot be found anymore.
Perhaps, the said wallet where I inserted my cards was stolen in my motorcycle;

That despite diligent effort to locate said wallet which contained my Non-Professional
Driver’s License, GCash Account Card, ATM Card and Company ID, the same was beyond
recovery.

That I am executing this affidavit to attest to the veracity of the above facts and for
the Land Transportation Office to issue me the duplicate copy of my Non-Professional
Driver’s License, for Globe Telecom to issue a new GCash Account Card, and for Metrobank
to issue a new ATM Card and for my employer to issue a new Company ID;

IN WITNESS WHEREOF, I have hereunto affixed my signature this 29th day of


September, 2020 at Sibulan, Negros Oriental, Philippines.

ALAIN JUDE R. VIDAL


Affiant
CTC # 23039019
On 09/28/2020
At Sibulan, Neg. Or.

          SUBSCRIBED AND SWORN to before me this 29th day of September, 2020 in
Sibulan, Negros Oriental, Philippines. Affiant exhibited her Community Tax Certificate as
indicated above.

JOSE A. ABIERA
Municipal Mayor

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