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    Affidavit of Loss: Doc No. - Page No. - Book No. - Series of 20

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    Jay Em
    Jenine Ds. Batalla filed an affidavit of loss stating that she lost her ATM card issued by Security Bank around August 5, 2019 at 2:20PM despite efforts to locate it. She affirms that the card has not been confiscated by any law enforcement agency and undertakes to surrender the card if found. The affidavit was sworn on September 24, 2019 to attest to the truth of the statements and request issuance of a new ATM card.

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    Affidavit of Loss: Doc No. - Page No. - Book No. - Series of 20

    Uploaded by

    Jay Em
    176 views1 page
    Jenine Ds. Batalla filed an affidavit of loss stating that she lost her ATM card issued by Security Bank around August 5, 2019 at 2:20PM despite efforts to locate it. She affirms that the card has not been confiscated by any law enforcement agency and undertakes to surrender the card if found. The affidavit was sworn on September 24, 2019 to attest to the truth of the statements and request issuance of a new ATM card.

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    238132996-Affidavit-of-Loss-ATM-Card.docx

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    Jenine Ds. Batalla filed an affidavit of loss stating that she lost her ATM card issued by Security Bank around August 5, 2019 at 2:20PM despite efforts to locate it. She affirms that the card has not been confiscated by any law enforcement agency and undertakes to surrender the card if found. The affidavit was sworn on September 24, 2019 to attest to the truth of the statements and request issuance of a new ATM card.

    Copyright:

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

    Affidavit of Loss: Doc No. - Page No. - Book No. - Series of 20

    Uploaded by

    Jay Em
    Jenine Ds. Batalla filed an affidavit of loss stating that she lost her ATM card issued by Security Bank around August 5, 2019 at 2:20PM despite efforts to locate it. She affirms that the card has not been confiscated by any law enforcement agency and undertakes to surrender the card if found. The affidavit was sworn on September 24, 2019 to attest to the truth of the statements and request issuance of a new ATM card.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    REPUBLIC OF THE PHILIPPINES)

    QUEZON CITY )

    AFFIDAVIT OF LOSS

    I, JENINE DS. BATALLA, Filipino, married, of legal age, resident of BLK 2 C LOT 1
    IROSIN ST DELA COSTA HOMES 2 BRGY 179 CALOOCAN CITY, Philippines, after
    having been sworn in accordance with law hereby depose and state that:

    1. I am the owner of ATM Card No. 0000021908567 issued by the SECURITY BANK.
    2. Sometime around AUGUST 5 2019 02:20PM, I lost the above ATM Card.
    3. Despite diligent efforts exerted, I could not locate or recover the said ATM card, and to
    the best of my knowledge, the same is truly lost.
    4. The said ATM Card has not been confiscated by any officer of the law or the issuing
    agency or office due to the violation of any law, statute, order, rule or regulation.
    5. In the event that the lost ATM card should hereafter be found or located, I undertake to
    forward or surrender the same to SECURITY BANK for appropriate disposal.
    6. I am executing this affidavit to attest to the truth of the foregoing andto request the
    issuance of a new ATM card to replace the one that was lost.

    SUBSCRIBED AND SWORN to before me this 24TH day of SEPTEMBER, 2019, affiant
    exhibiting to me his competent evidence of identity by way of_____(ID Type and number)___
    issued at___________City on____________.

    Notary Public

    Doc No. ________;


    Page No. _______;
    Book no. _______;
    Series of 20____.

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