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    Affidavit of Loss: IN WITNESS WHEREOF, I Have Hereunto Affixed My Signature This February - , 2018

    Uploaded by

    Aljim Totex Montallana Arcueno
    This affidavit details the loss of a savings certificate during Super Typhoon Yolanda in November 2013. The affiant held a BAWAT MIYEMBRO PROTEKTADO certificate from AIR MATERIEL WING Savings and Loan Association with policy number [NUMBER]. Despite searching diligently, the certificate was not found after the typhoon and is now considered legally lost. The affiant signed the affidavit in February 2018 in Tacloban City, Leyte to attest to the truth of the loss for hospital claim purposes or other uses.

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    Affidavit of Loss: IN WITNESS WHEREOF, I Have Hereunto Affixed My Signature This February - , 2018

    Uploaded by

    Aljim Totex Montallana Arcueno
    23 views1 page
    This affidavit details the loss of a savings certificate during Super Typhoon Yolanda in November 2013. The affiant held a BAWAT MIYEMBRO PROTEKTADO certificate from AIR MATERIEL WING Savings and Loan Association with policy number [NUMBER]. Despite searching diligently, the certificate was not found after the typhoon and is now considered legally lost. The affiant signed the affidavit in February 2018 in Tacloban City, Leyte to attest to the truth of the loss for hospital claim purposes or other uses.

    Original Description:

    Affidavit of Loss Insurance

    Original Title

    Aff Loss Policy

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    This affidavit details the loss of a savings certificate during Super Typhoon Yolanda in November 2013. The affiant held a BAWAT MIYEMBRO PROTEKTADO certificate from AIR MATERIEL WING Savings and Loan Association with policy number [NUMBER]. Despite searching diligently, the certificate was not found after the typhoon and is now considered legally lost. The affiant signed the affidavit in February 2018 in Tacloban City, Leyte to attest to the truth of the loss for hospital claim purposes or other uses.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    23 views1 page

    Affidavit of Loss: IN WITNESS WHEREOF, I Have Hereunto Affixed My Signature This February - , 2018

    Uploaded by

    Aljim Totex Montallana Arcueno
    This affidavit details the loss of a savings certificate during Super Typhoon Yolanda in November 2013. The affiant held a BAWAT MIYEMBRO PROTEKTADO certificate from AIR MATERIEL WING Savings and Loan Association with policy number [NUMBER]. Despite searching diligently, the certificate was not found after the typhoon and is now considered legally lost. The affiant signed the affidavit in February 2018 in Tacloban City, Leyte to attest to the truth of the loss for hospital claim purposes or other uses.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    Republic of the Philippines )

    City of Tacloban ) s.s

    AFFIDAVIT OF LOSS

    I, _______________, of legal age, Filipino, married, and with a residence at 556 SAN
    MIGUEL, TANAUAN LEYTE, after having been duly sworn in accordance with law, hereby
    depose and state, THAT:

    1. I was a holder of a BAWAT MIYEMBRO PROTEKTADO (BMP) Certificate from AIR


    MATERIEL WING Savings and Loan Association Inc. with Insurance Policy No.
    _________________________;

    2. This BMP Certificate was lost during the onslaught of Super Typhoon Yolanda on
    November 8, 2013;

    3. Diligently, we looked for it but we consider it now legally lost beyond ways;

    4. I have executed this instrument to attest to the truth and veracity of the foregoing
    facts for my Hospital Claim and whatever purpose the same shall serve.

    IN WITNESS WHEREOF, I have hereunto affixed my signature this February ___, 2018,
    in Tacloban City, Leyte, Philippines.

    _________________
    Affiant
    PNP Badge No. _______________

    Subcribed and sworn to before me on February ___, 2018 at Tacloban City, Leyte,
    Philippines.

    DOC. No. ___

    Page No. ___

    Book No. ___

    Series of 2018

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