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    Affidavit of Loss

    Uploaded by

    Liza Baltera
    Jonathan A. Remoblas filed an affidavit of loss stating that: 1) He is the holder of a lost Pantawid Pasada Program Card with an account number. 2) He misplaced the card and could not find it despite searching diligently. 3) He executed the affidavit to attest to losing the card.

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    © All Rights Reserved
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    Affidavit of Loss

    Uploaded by

    Liza Baltera
    335 views1 page
    Jonathan A. Remoblas filed an affidavit of loss stating that: 1) He is the holder of a lost Pantawid Pasada Program Card with an account number. 2) He misplaced the card and could not find it despite searching diligently. 3) He executed the affidavit to attest to losing the card.

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    AFFIDAVIT OF LOSS.docx

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    Jonathan A. Remoblas filed an affidavit of loss stating that: 1) He is the holder of a lost Pantawid Pasada Program Card with an account number. 2) He misplaced the card and could not find it despite searching diligently. 3) He executed the affidavit to attest to losing the card.

    Copyright:

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

    Affidavit of Loss

    Uploaded by

    Liza Baltera
    Jonathan A. Remoblas filed an affidavit of loss stating that: 1) He is the holder of a lost Pantawid Pasada Program Card with an account number. 2) He misplaced the card and could not find it despite searching diligently. 3) He executed the affidavit to attest to losing the card.

    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 )

    PROVINCE OF LAGUNA ) S. S.
    MUNICIPALIT OF PILA )

    AFFIDAVIT OF LOSS

    I, JONATHAN A. REMOBLAS, of legal age, Filipino Citizen, with postal


    address at Calumpang Liliw, Laguna, after having been duly sworn to in
    accordance with law, depose and voluntarily state:

    1. That I am a holder of Pantawid Pasada Program Card with account no.


    ___________________.

    2. That the said Pantawid Pasada Card was misplaced and/or lost and could
    not be found despite diligent effort locate the same;

    3. That I exerted effort to look for the said Pantawid Pasada Card but to no
    avail;

    4. That I am executing this affidavit to attest to the truth of the above facts;

    AFFIANT SAYETH NONE.

    IN WITNESS WHEREOF, I have hereunto signed my name this 22 nd day of


    August 2019 at Pila, Laguna.

    JONATHAN A. REMOBLAS
    Affiant

    SUBSCRIBED AND SWORN TO before me this 22nd, day of August 2019


    at Pila, Laguna with Certificate of Identity: Driver’s License with License No.
    D12-94-028663.

    Doc. No.: 936 ATTY. LOPE R. VELASCO


    Page No.: 220 NOTARY PUBLIC
    Book No.: 416 UNTIL DECEMBER 31, 2019
    Series No.: 2019 PTR NO. 48121190/11-2019
    IBP NP. 660381/ROLL NO. 28757
    MCLE COMPLIANCE NP. V-000284

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