Documente Academic
Documente Profesional
Documente Cultură
AFFIDAVIT OF LOSS
a. ___________________________
b. ___________________________
c. ___________________________
d. ___________________________
e. ___________________________
f. ___________________________
2. That I usually kept the said documents in _______________________;
4. That upon knowing that it was missing, I exerted diligent effort to locate the said
documents but the same proved be futile, for such reason, I am declaring said
documents to be lost for all intents and purposes;
5. That the said documents were not confiscated by any government agency nor
used as a consideration for any unlawful purpose;
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my signature this
_________________________ at _____________________________, Philippines.
_________________________________
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and for City of
____________________, Philippines, this _________________________. Affiant personally came and
appeared with _____________________________, bearing his photograph and signature, known to
me and to me known to be the same person who personally signed the foregoing
instrument before me and avowed under penalty of law to the whole truth of the contents
of said instrument.
Doc. No._____
Page No._____
Book No._____
Series of 2018.