I, GEORGE MICHAEL TOCAYON FORTUNA, Filipino, 33 years
of age, with common-law partner, and presently residing at Barangay Hamorawon, Calbayog City, Samar, Philippines, after having been duly sworn to in accordance with law, hereby depose and state, that--
1. I am a holder of a Professional Driver’s License duly issued
by the Land Transportation Office (LTO) of Calbayog City, with License Number H01-14-002539;
2. Just recently, my wallet where the said license card including
my other identification cards, was lost, without my knowledge;
3. The moment I learned about it, I exerted diligent efforts to
locate the same, but to no avail;
4. The said Driver’s License was not confiscated nor apprehended
by proper authorities in any violation of law or ordinance or rules;
5. I am executing this Affidavit to attest to the truth of the
foregoing facts and to support my application for the issuance of a new Driver’s License Card and for whatever legal purpose this may serve;
IN WITNESS WHEREOF, I have hereunto set my hand this 10th
day of October 2019, at Calbayog City, Samar, Philippines.
GEORGE MICHAEL TOCAYON FORTUNA
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME, 10th day of October
2019, at Calbayog City, Samar, Philippines.
ATTY. ALJUN B. DIAZ
Public Attorney I Pursuant to RA 9406 Republic of the Philippines ) City of Calbayog ) s.s.
AFFIDAVIT OF LOSS (Re: Driver’s License)
I, ARNOLD PALLONES VELASCO, Filipino, 30 years of
age, with common-law partner and presently a resident of Barangay Malopalo, Calbayog City, Samar, Philippines, after having been duly sworn to in accordance with law, hereby depose and state, that--
1. I am a holder of a Professional Driver’s License duly
issued by the Land Transportation Office (LTO) of Calbayog City, with License Number H0619002165;
2. Just recently, my wallet where the said license card
including my other identification cards, was lost, without my knowledge;
3. The moment I learned about it, I exerted diligent
efforts to locate the same, but to no avail;
4. The said Driver’s License was not confiscated nor
apprehended by proper authorities in any violation of law or ordinance or rules;
5. I am executing this Affidavit to attest to the truth
of the foregoing facts and to support my application for the issuance of a new Driver’s License Card and for whatever legal purpose this may serve;
IN WITNESS WHEREOF, I have hereunto set my hand this 20th
day of May 2019, at Calbayog City, Samar, Philippines.
ARNOLD PALLONES VELASCO
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME, 20th day of May 2019,