REPUBLIC OF THE PHILIPPINES )
PROVINCE OF _________________ ) S.S.
CITY/MUNICIPALITY OF ____________________)
AFFIDAVIT OF LOSS
I, ________, Filipino, of legal age, and residing at ________, after having been sworn according to law, hereby depose and state that:
1. I am the owner of a school ID with student no. ________ issued by ________.
2. On or about ________, I discovered the loss of the said school ID under the following circumstances:
________
3. Despite diligent efforts, I could not find nor locate the same and I believe that it is truly lost.
4. I am executing this affidavit for whatever legal purpose it may serve and to request for a replacement of said school I.D.
5. 5 522282 22 252 25525 22 252 225222822 82225252822.
8225885 2585858 588558 885285.
__________________________________
________
Affiant
SUBSCRIBED AND SWORN to before me this ___________________ at _________________________________, affiant ________ personally appeared before me and exhibited to me Driver's License no. ________ and is valid until ________.
Doc. No.: _________
Page No.: _________
Book No.: _________
Series of _________
REPUBLIC OF THE PHILIPPINES )
PROVINCE OF _________________ ) S.S.
CITY/MUNICIPALITY OF ____________________)
AFFIDAVIT OF LOSS
I, ________, Filipino, of legal age, and residing at ________, after having been sworn according to law, hereby depose and state that:
1. I am the owner of a school ID with student no. ________ issued by ________.
2. On or about ________, I discovered the loss of the said school ID under the following circumstances:
________
3. Despite diligent efforts, I could not find nor locate the same and I believe that it is truly lost.
4. I am executing this affidavit for whatever legal purpose it may serve and to request for a replacement of said school I.D.
5. 5 522282 22 252 25525 22 252 225222822 82225252822.
8225885 2585858 588558 885285.
__________________________________
________
Affiant
SUBSCRIBED AND SWORN to before me this ___________________ at _________________________________, affiant ________ personally appeared before me and exhibited to me Driver's License no. ________ and is valid until ________.
Doc. No.: _________
Page No.: _________
Book No.: _________
Series of _________
Use the form on the left to fill in the template.
The document is written according to your responses - clauses are added or removed, paragraphs are customised, words are changed, etc.
At the end, you will immediately receive the document in Word and PDF formats. You can then open the Word document to modify it and reuse it however you wish.