ALL IDs

Republic of the Philippines)
City of Zamboanga ) S.S.

X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
Re: PHILHEALTH ID
I, HARIDJA M. MANDAG , 26 years old, single, Filipino and a resident of Putik,

Zamboanga City, after having been sworn to an oath in accordance with law, hereby
depose and state:
That I am a holder of a PHILHEALTH ID issued by the PHIL. HEALTH

INSURANCE CORPORATION (PHIC);
That the said PHILHEALTH ID was lost/ misplaced in my possession;
That effort were exerted to locate the said PHILHEALTH ID but the same proved
futile and in vain, hence, I considered it lost or beyond recovery;
That I am executing this affidavit to attest to the truth of the foregoing narration of
facts and for whatever legal purpose this may serve in general.
IN WITNESS WHEREOF, we hereunto set our hand this 10 th day of February,

2023 at Zamboanga City, Philippines.
HARIDJA M. MANDAG
Affiant
Company ID : 88065
SUBSCRIBED AND SWORN TO BEFORE ME this 10th day of February, 2023 at

Zamboanga City, Philippines.
ATTY. JOHN PHILIP Z. DELOTINA

Public Attorney I
(Pursuant to RA 9406)
X----------------- x
AFFIDAVIT
RE : NON-RECEIPT OF PHILHEALTH ID
I, JAAFAR K. JAMASALI , 32 years old, single, Filipino, and a resident and

postal address at Sinunuc, Zamboanga City, after having been sworn to an oath in
accordance with law, hereby depose and state:
That I am a PHILHEALTH Member;
That as such I have never received my PHILHEALTH ID up to this date;
fact and specifically for the purpose of requesting the PHILHEALTH Authorities to issue
me an ID and for whatever legal purpose this may serve in general.

JAAFAR K. JAMASALI
Affiant
Company ID : A-22379
SUBSCRIBED AND SWORN TO BEFORE ME this 10th day of February, 2023

at Zamboanga City, Philippines.

Public Attorney I
(Pursuant to R.A. 9406)
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE: PHILHEALTH CARD
I, RICARDA, REALINO IGNACIO , 53 years old, single, Filipino, with postal

address at Tumaga, Zamboanga City, under oath depose and say:
That I am the son of FELICIDAD IGNACIO RICARDA (89 years old), a

PHILHEALTH member;
That he/she is a holder of a HEALTH CARD issued by the PHIL. HEALTH

That the said HEALTH CARD was lost/misplaced in his/her possession;
That effort were exerted to locate the said HEALTH CARD but the same proved
futile and in vain, hence, he/she considered it lost beyond recovery;
IN WITNESS WHEREOF, we hereunto set our hand this 18th day of February,
RICARDA, REALINO IGNACIO

Affiant
National ID :4218-4962-5312-8736


Public Attorney I
X - - - - - - - - - - - - - - - - - --x
AFFIDAVIT OF LOSS
I, , 28 years old, Filipino, single, and presently residing at Sto. Niño, Zamboanga
City , under oath depose and say:
That I am a holder of a NOTICE TO THE PUBLIC CERTIFICATE (TO OPERATE

ONLINE SHOP) issued by the Bureau of Internal Revenue, Zamboanga City;
That the said NOTICE TO THE PUBLIC CERTIFICATE was lost/misplaced in my

possession;
That efforts were exerted to locate the said NOTICE TO THE PUBLIC
CERTIFICATE but the same proved futile and in vain, hence, I considered it lost
beyond recovery;
fact and for whatever legal purpose this may serve in general.
IN WITNESS WHEREOF, I have hereunto set my hand this 20 th day of May,

Affiant
Prof. ID Card w/no.0834347
SUBSCRIBED AND SWORN TO BEFORE ME this 20th day of May, 2022 at


` Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
Re: PHILHEALTH ID
I, MARILYN G. POTOT , 39 years old, Filipino, single, and presently residing at

San Roque, Zamboanga City, after having been sworn to an oath in accordance with
law, hereby depose and state:
That I am a holder of a PHILHEALTH ID issued by the PHIL. HEALTH

That the said PHILHEALTH ID was lost/ misplaced in my possession;
That effort were exerted to locate the said PHILHEALTH ID but the same proved
IN WITNESS WHEREOF, I hereunto set my hand this 28th day of April, 2022 at
MARILYN G. POTOT
Affiant
Pag-Ibig ID w/no.1211-7400-7960
SUBSCRIBED AND SWORN TO BEFORE ME this 28th day of April, 2022 at

ATTY. RUBY JOY E.ACIBAR-SAIDONA

Public Attorney III

X----------------- x
AFFIDAVIT
RE : NON-RECEIPT OF SS ID
I, INDANAN, PEARL-AYSHA HABIBUL , 25 years old, single, Filipino and with

a residence and postal address at Talon-Talon, Zamboanga City, after having been
sworn to an oath in accordance with law, hereby depose and state:
That I am a SSS Member;
That as such I have never received my SS ID up to this date;
fact and specifically for the purpose of requesting the SSS Authorities to issue me an ID
and for whatever legal purpose this may serve in general.

INDANAN, PEARL-AYSHA HABIBUL

Affiant
Prof. ID Card w/no.0079029

ATTY. ANTONIO LEANDRRO C. DAGDAG

Public Attorney I

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AFFIDAVIT OF LOSS
RE: PHILHEALTH ID
I, MELY V. ENRIQUEZ , of legal age, Filipino, single and presently residing at

Tugbungan, Zamboanga City, under oath depose and say:
That I am the niece of MERCY T. VELEZ , a Philhealth Member;
That he/she is a holder of a HEALTH CARD issued by the PHIL. HEALTH

That the said HEALTH CARD was lost/misplaced in his/her possession;
IN WITNESS WHEREOF, I hereunto set my hand this 3 rd day of November, 2021

MELY V. ENRIQUEZ
Affiant
Church ID w/#00088
SUBSCRIBED AND SWORN TO BEFORE ME this 3rd day of November, 2021


Public Attorney I
X----------------- x
AFFIDAVIT
I, FERNANDO, RACHEL B., 33 years old, Filipino, single and presently residing
at Cabatangan, Zamboanga City, under oath depose and say:
That I am the Daughter of MENDELLIE B. FERNANDO, a Philhealth Member;
That he/she has never received his PHILHEALTH ID up to this date;
him/her an ID and for whatever legal purpose this may serve in general.
IN WITNESS WHEREOF, I have hereunto set my hand this 6th day of January,
2023at Zamboanga City, Philippines.
FERNANDO, RACHEL B.,

Affiant
SS UMID Card :0111-5576518-9
SUBSCRIBED AND SWORN TO BEFORE ME 6th day of January, 2023 at

ATTY. PHYLLISABELLE BETHANY W. GENERAL

Public Attorney I

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AFFIDAVIT OF LOSS
RE : HEALTH CARD
I, BONGCASAN, VANESSA LEE F. , 23 years old, Filipino, single, and with

residence and postal address at Tumaga, Zamboanga City, after having been sworn to
an oath in accordance with law, hereby depose and state:
That I am a holder of a HEALTH CARD (Green) issued by the CITY HEALTH

OFFICE, Zamboanga City;
That the said HEALTH CARD was lost/misplaced in my possession;
futile and in vain, hence, I considered it lost beyond recovery;
IN WITNESS WHEREOF, we hereunto set our hand this 20th day of January,
BONGCASAN, VANESSA LEE F.

Affiant
Company ID:202212-0096681
SUBSCRIBED AND SWORN TO BEFORE ME this 20th day of January, 2023 at

ATTY. ANTONIO LEANDRO C. DAGDAG

Public Attorney I
Republic of the Philippines )

X------------------x
AFFIDAVIT OF LOSS
RE: CITATION TICKET
I, GENEVEV D. RUIZ , 24 years old, single, Filipino, and a resident of Canelar

Moret, Zamboanga City, under oath depose and say:
That, I was apprehended by a Police Officer for Violation of Executive Order re :

NO QUARANTINE PASS;
That as such I was issued a CITATION TICKET by the apprehending Police

Officer;
That the said CITATION TICKET was lost/misplaced in my possession;
That efforts were exerted to locate the said CITATION TICKET but the same
proved futile and in vain, hence, I considered it lost beyond recovery;
IN WITNESS WHEREOF, I hereunto set my hand this 22nd day of February, 2022
GENEVEV D. RUIZ
Affiant
COMPANY ID w/#20210007
SUBSCRIBED AND SWORN TO BEFORE ME this 22nd day of February, 2022

ATTY. RUBY JOY A. SAIDONA

Public Attorney III

X----------------- x
AFFIDAVIT
RE : NON-RECEIPT OF SSS ID
I, ANACLETA A. BERNAL , 66 years old, married, Filipino, and a resident of
Ayala, Zamboanga City after having been sworn to an oath in accordance with law,
hereby depose and state:
That as such I have never received my SSS ID up to this date;
fact and specifically for the purpose of requesting the SSS Authorities to issue me an
ID and for whatever legal purpose this may serve in general.
IN WITNESS WHEREOF, I hereunto set my hand this 4 th day of May, 2021 at

ANACLETA A. BERNAL
Affiant

ATTY. SHERIDYLL M. PARTOSA-AGUILAR

Public Attorney I

X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
Re: SS IDENTIFICATION CARD
I, ESMERALDA C. LINGAYAN , 69 years old, widow, Filipino, with postal

address at Tumaga, Zamboanga City, under oath depose and say:
That I am a SS member;
That I was issued an IDENTIFICATION CARD issued by the said Institution;
That the said IDENTIFICATION CARD was lost/misplaced in my possession;
That effort were exerted to locate the said IDENTIFICATION CARD but the
same proved futile and in vain, hence, I considered it lost beyond recovery;
ESMERALDA C. LINGAYAN
Affiant


Public Attorney I

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AFFIDAVIT OF LOSS
I, GRAZELL N. LAÑOHAN , 22 years old, Filipino, single and presently residing

at Recodo , Zamboanga City, under oath depose and say:
That I am a the daughter of MYRNA N. LAÑOHAN, a SSS member;
That he/she was issued an IDENTIFICATION CARD issued by the said

Institution;
That the said IDENTIFICATION CARD was lost/misplaced in his/her possession;
same proved futile and in vain, hence, he/she considered it lost beyond recovery;
IN WITNESS WHEREOF, I hereunto set my hand this 12th day of August, 2021 at
GRAZELL N. LAÑOHAN
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 12th day of August, 2021 at

Zamboanga City, Philippines. Affiant exhibited her PHILHEALTH ID with no. 14-
251133387-2.
ATTY. PIUS G. MORADOS

Public Attorney I

X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, USMAN, RUBY G. , 32 years old, married, Filipino and residents of Sta.

Barbara, Zamboanga City, under oath depose and say:
That I am an employee of CITY HEALTH OFFICE, Zamboanga City;
IN WITNESS WHEREOF, I have hereunto set my hand this 29th day of
December, 2021 at Zamboanga City, Philippines.
USMAN, RUBY G.
Affiant
TIN CARD w/# 771-103-362-000
SUBSCRIBED AND SWORN TO BEFORE ME this 29th day of December, 2021

in Zamboanga City, Philippines.
ATTY. RHEA DOLL B. GONZALO-ANADI

Public Attorney II

X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, KINDONG TAJI TAHIL , 71 years old, Filipino, widow and presently residing
at Suterville, Zamboanga City, under oath depose and say:
That I am the wife of ABDULMUIN SADDAIE (Deceased);
That he is a holder of an IDENTIFCATION CARD and PASSBOOK issued by

the AMWSLAI, Zamboanga City;
That the said IDENTIFCATION CARD and PASSBOOK were lost/misplaced in

his belongings;
That effort were exerted to locate the said IDENTIFCATION CARD and
PASSBOOK but the same proved futile and in vain, hence, we considered it lost
beyond recovery;

KINDONG TAJI TAHIL

Affiant
Beneficiary ID with no.560514-28130

Zamboanga City.

Public Attorney I

X - - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT
(Re : MUTILATION)
I, MYRA D. HAMJA , 31 years old, married, Filipino, and a resident of Recodo,

Zamboanga City, under oath depose and say:
That I am the rightful owner of an AUTOMATED TELLER MACHINE (ATM)

CARD bearing no. 6031 3100 0190 0213 994 issued by the Land Bank of the
Philippines;
That the said AUTOMATED TELLER MACHINE (ATM) became unreadable but
all/some information / data regarding the AUTOMATED TELLER MACHINE (ATM) has
been retained;
IN WITNESS WHEREOF, I have hereunto set my hand this 26 th day of October,
MYRA D. HAMJA
Affiant
Brgy. ID w/no. 2021-RBC42A
SUBSCRIBED AND SWORN TO BEFORE ME this 26th day of October, 2021 in

ATTY. KAL KAUSAR S. KADIL

Public Attorney II

X----------------- x
AFFIDAVIT
I, ANDRES AMORTIZADO ROMERO , 70 years old, married, Filipino, and a

resident of Tumaga, Zamboanga City, after having been sworn to an oath in
That I am a CWSLAI Member;
That I was issued a PASSBOOK/s (Green and Blue) by the said Institution;
That the said PASSBOOK/s was/were lost/misplaced in my possession;
That effort were exerted to locate the said PASSBOOK/s but the same proved
IN WITNESS WHEREOF, I hereunto set my hand this 11th day of November ,

ANDRES AMORTIZADO ROMERO
Affiant
PVAO ID w/no.A-17-9809
SUBSCRIBED AND SWORN TO BEFORE ME this 11th day of November, 2022

ATTY. ALYANNA MAE A. BARRE

Public Attorney I

X----------------- x
AFFIDAVIT
I, ANDRES AMORTIZADO ROMERO , 70 years old, married, Filipino, and a

resident of Tumaga, Zamboanga City, after having been sworn to an oath in
That I am a holder of a PASSBOOK issued by the Katipunan Bank, Zamboanga

City;
That the said PASSBOOK was lost/misplaced in my possession;
That effort were exerted to locate the said PASSBOOK but the same proved

ANDRES AMORTIZADO ROMERO

Affiant
PVAO ID w/no.A-17-9809


Public Attorney I

X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, GLORIA R. PUEBLO, 77 years old, Filipino, a widow, with residence and

postal address at Sinunuc, Zamboanga City, after having been sworn to an oath in
That I am holder of an IDENTIFICATION CARD issued by MEMPCO,

Zamboanga City;
That the said ID was lost/misplaced in my possession;
That effort were exerted to locate the said ID but the same proved futile and in
vain, hence, I considered it lost or beyond recovery;
IN WITNESS WHEREOF, I have hereunto set my hand this 20th day of October,
GLORIA R. PUEBLO
Affiant
SC ID: 90899
SUBSCRIBED AND SWORN TO BEFORE ME this 20th day of October, 2022 at


` Public Attorney II

X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : SIM CARD/s
I, EDILWASHIEF M. KIRAM , 30 years old, Filipino, single, and residing at

Baliwasan, Zamboanga City, after having been sworn to an oath in accordance with
That I am a holder of a SMART SIM CARD with no.0961-613-9713;
That the said SIM CARD/s was/were lost/misplaced in my possession;
That efforts were exerted to locate the said SIM CARD/s but the same proved
futile and in vain, hence, I consider it lost beyond recovery;
EDILWASHIEF M. KIRAM
Affiant
School ID w/no.2008-02983

ATTY. ANDREI T. ASISTIDO

Public Attorney II

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AFFIDAVIT OF LOSS
I, BASARON, NADZMA B. , 44 years old, Filipino, single, and residing at

Sinunuc, Zamboanga City, after having been sworn to an oath in accordance with law,
That I am a holder of a SOLO PARENT ID issued by the City Social Welfare

and Development Office, Zamboanga City;
That the said SOLO PARENT ID was lost/misplaced in my possession;
That efforts were exerted to locate the said SOLO PARENT ID but the same
proved futile and in vain, hence, he considered it lost beyond recovery;
facts, and for whatever legal purpose this may serve in general.
IN WITNESS WHEREOF, I hereunto set my hand this 16th day of August, 2022at
BASARON, NADZMA B.
Affiant
PHIC ID w/ no. 19-026169143-8


Public Attorney II

X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : SIM CARD
I, RUTH L. SUBIBI , 34 years old, Filipino, married, and residing at Guiwan,

Zamboanga City, after having been sworn to an oath in accordance with law, hereby
depose and state:
That I am a holder of a TM SIM CARD with no. 0916 185 8335;
That the said SIM CARD was lost/misplaced in my possession;
That efforts were exerted to locate the said SIM CARD but the same proved futile
and in vain, hence, he considered it lost beyond recovery;
facts, and for whatever legal purpose this may serve in general.
IN WITNESS WHEREOF, I hereunto set my hand this 29th day of January, 2021
RUTH L. SUBIBI
Affiant


Public Attorney I

X - - - - - - - - - - - - - - - - - --x
AFFIDAVIT
I, NORISA T. JAILANO , 23 years old, single, Filipino and with a residence and
postal address at Mampang, Zamboanga City, under oath depose and say:
That I am the mother of KRISTIAN T. FAUSTINO, he is a PHILHEALTH member;
That he had not received his PHILHEALTH ID up to this date;
him an ID and for whatever legal purpose this may serve in general.
ROSARIO T. FAUSTINO
Affiant

ATTY. KARINA ANGELA E. FERNANDEZ

Public Attorney III

X - - - - - - - - - - - - - - - - - --x
AFFIDAVIT OF LOSS
I, EMELYN L. ARCILLAS , 22 years old, single, Filipino, with residence and

postal address Lumbangan, Zamboanga City, under oath depose and say:
That I am a holder of a PASSBOOK with MEMPCO, Guiwan, Zamboanga City;
That the said PASSBOOK was lost/misplaced in my possession;
That efforts were exerted to locate the said PASSBOOK but the same proved
fact and specifically for the purpose of granting my request for issuance of a new one
IN WITNESS WHEREOF, I have hereunto set my hand this 10 th day of
November, 2022 at Zamboanga City, Philippines.
EMELYN L. ARCILLAS
Affiant
Brgy.ID w/no.T-2022-001


` Public Attorney I

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AFFIDAVIT OF LOSS
I, CHRISTOPHER PADO DALISAY, 36 years old, married, Filipino, with

residence and postal address Mampang, Zamboanga City, under oath depose and say:
That I am a holder of REGISTRATION ID (FIRE ARM) issued by Federal Gun

Exchange, Veterans Avenue, Zamboanga City;
That the said REGISTRATION ID was lost/misplaced in my possession;
That efforts were exerted to locate the said REGISTRATION ID but the same
IN WITNESS WHEREOF, I have hereunto set my hand this 17 th day of February,
CHRISTOPHER PADO DALISAY

Affiant

ATTY. IRIS MAY M. MACROHON


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AFFIDAVIT OF LOSS
I, USMAN, RAVINA , 33 years old, Filipino, married and with residence and
postal address at Kasanyangan, Zamboanga City, under oath deposes and say:
That I am an employee of KCC Mall de Zamboanga, Zamboanga City, as such I

was issued an IDENTIFICATION CARD;
That efforts were exerted to locate the said IDENTIFICATION CARD but the
USMAN, RAVINA
Affiant
Health Card : 029968


Public Attorney I

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AFFIDAVIT OF LOSS
I, CORILLA, ERICKA BELLE DELA CRUZ , 20 years old, Filipino, single, and
residing at Upper Calarian, Zamboanga City, under oath depose and say:
That I am a holder of CERTIFICATE of COMPLETION (school year 2017-

2018) issued by the Zamboanga National High School West, Zamboanga City;
That the said CERTIFICATE was lost/misplaced in my possession;
That efforts were exerted to locate the said CERTIFICATE but the same proved
IN WITNESS WHEREOF, I have hereunto set my hand this 18 th day of January,

CORILLA, ERICKA BELLE DELA CRUZ
Affiant
Phil. Passport w/no.P1308116B



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AFFIDAVIT OF LOSS
I, RALF MYLON ITURRALDE y BARCELON, 27 years old, single, Filipino and

a resident of Talon-Talon, Zamboanga City, under oath deposes and says:
That I am an employee of JJLL located at Camp Navaro, Upper Calarian,

Zamboanga City;
That as such, I was issued a IDENTIFICATION CARD issued by the said

JJLL;
IN WITNESS WHEREOF, I have hereunto set my hand this 2 nd day of May, 2022
RALF MYLON ITURRALDE y BARCELON

Affiant
UMID ID w/ no. CRN-0111-5460566-4
SUBSCRIBED AND SWORN TO BEFORE ME 2nd day of May, 2022 at


Public Attorney I

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AFFIDAVIT OF LOSS
I, HANNAN U. ASTA , 17 years old, single, Filipino, and a resident of Sta.

Barbara, Zamboanga City, after having been sworn to an oath in accordance with law,
That I am a holder of a COLLEGE ENTRANCE EXAM TEST PERMIT issued by

the WMSU, Zamboanga City;
That the said COLLEGE ENTRANCE EXAM TEST PERMIT was lost/misplaced
in my possession;
That effort were exerted to locate the said COLLEGE ENTRANCE EXAM TEST
PERMIT but the same proved futile and in vain, hence, I considered it lost beyond
recovery;
IN WITNESS WHEREOF, I hereunto set my hand this 21st day of December,

HANNAN U. ASTA
Affiant
School ID w/no.134678120165
Assisted by :
AMELIA B. VILLANEZ
Cousin
SUBSCRIBED AND SWORN TO BEFORE ME 21st day of December, 2022 at

ATTY. JAMILA ALFEIYA S. ACEBEROS

Public Attorney I

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AFFIDAVIT OF LOSS
I, HADJIRUL, ALFAHAD JALALI , 22 years old, single, Filipino, and a resident

of Sta. Maria, Zamboanga City, after having been sworn to an oath in accordance with
That I am a holder of an ENTRANCE EXAM TEST PERMIT issued by the

Philippine Air Force, Zamboanga City;
That the said ENTRANCE EXAM TEST PERMIT was lost/misplaced in my

possession;
That effort were exerted to locate the said ENTRANCE EXAM TEST PERMIT
but the same proved futile and in vain, hence, I considered it lost beyond recovery;

HADJIRUL, ALFAHAD JALALI

Affiant
c License w/no.J13-19-018578
SUBSCRIBED AND SWORN TO BEFORE ME 5th day of May, 2022 at


Public Attorney I

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AFFIDAVIT OF LOSS
I, INOCENCIA A. MAGLANGIT , 58 years old, Filipino, single/married, and

presently residing at Ayala, Zamboanga City, after having been sworn to an oath in
That I am a holder of a HEALTH CARD by MAXICARE;
That the said HEALTH CARD was lost/misplaced in my possession
IN WITNESS WHEREOF, I hereunto set my hand this 29 th day of July, 2019,
INOCENCIA A. MAGLANGIT
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 29th day of July, 2019 at


Public Attorney II

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AFFIDAVIT OF LOSS
I, HASSAN, BENHUR LI , 39 years old, Filipino, single and residing at San

Jose, Zamboanga City, after having been sworn to an oath in accordance with law,
That I am the son of HUSSIN HASSAN (Deceased), he is a holder of a

Memorial Plan with no. M06-007685 and Certificate of Full Payment with no.
97852372 issued by the St. Peter Plan, Inc.. Said Memorial Plan will be transferred to
and used by his wife Shernes Li Hassan;
That the said Memorial Plan and Certificate of Full Payment was/were
lost/misplaced;
That effort were exerted to locate the said Memorial Plan and Certificate of
Full Payment but the same proved futile and in vain, hence, I considered it lost beyond
recovery;
IN WITNESS WHEREOF, I hereunto set my hand this 6th day of January, 2023 at
HASSAN, BENHUR LI
Affiant
Driver’s License w/no.J04-02-090806


Public Attorney I

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AFFIDAVIT
POLICY CONTRACT
I, ELISA P. BUBILA , 51 years old, Filipino, married, and presently residing at

Quiniput, Zamboanga City, after having been sworn to an oath in accordance with law,
That I am a holder of a POLICY CONTRACT issued by the Goodlife Damayan

Insurance Agency Co., Sangali Branch, Zamboanga City
That the said POLICY CONTRACT was lost/misplaced in my possession;
That effort were exerted to locate the said POLICY CONTRACT but the same

ELISA P. BUBILA
Affiant
Brgy. ID w/no.64-022171


Public Attorney I

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AFFIDAVIT
Re: CERTIFICATE
I, OLARTE, TERESITA B. , 56 years old, Filipino, widow, and presently residing

at Talon-Talon, Zamboanga City, after having been sworn to an oath in accordance with
That I am the wife of SABINO M. OLARTE, JR., Deceased (died last October 07,
2022);
That he is holder of a MRS CERTIFICATE OF LIFETIME MEMBERSHIP issued
by the Phil. Air Force, Villamor Airbase, Pasay City;
That the said MRS CERTIFICATE OF LIFETIME MEMBERSHIP was

lost/misplaced in his possession;
That effort were exerted to locate the said MRS CERTIFICATE OF LIFETIME
MEMBERSHIP but the same proved futile and in vain, hence, I considered it lost
beyond recovery;

OLARTE, TERESITA B.
Affiant
TIN CARD w/no.745-243-891


Public Attorney I
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AFFIDAVIT OF LOSS
Re : PERSONS WITH DISABILITY (PWD) ID
I, IGNACIO, MA. MADELEINE S. , 42 years old, Filipino, married, and presently

residing at San Jose Gusu, Zamboanga City, under oath depose and say;
That I am a holder of a PERSONS WITH DISABILITY (PWD) ID issued by the

DSWD, Zamboanga City;
That the said PERSONS WITH DISABILITY (PWD) ID was lost/misplaced in my

possession;
That effort were exerted to locate the said PERSONS WITH DISABILITY (PWD)
ID but the same proved futile and in vain, hence, I considered it lost beyond recovery;
IGNACIO, MA. MADELEINE S.

Affiant
Brgy. ID:23-0206113608


Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, JIMLANI, SITTI-HAISA T. , 41 years old, Filipino, single, and presently

residing at San Roque, Zamboanga City, under oath depose and say;
That I am the Sister-in-Law of GINA A. JIMLANI;
That he/she is a holder of a PERSONS WITH DISABILITY (PWD) ID issued by

the DSWD, Zamboanga City;
That the said PERSONS WITH DISABILITY (PWD) ID was lost/misplaced in

his/her possession;
ID but the same proved futile and in vain, hence, he/she considered it lost beyond
recovery;
fact and specifically for the purpose of granting her request for issuance of a new one
JIMLANI, SITTI-HAISA T.
Affiant
SS UMID Card : 0113-0493022-8


Public Attorney III
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, JOJO T. KARIL, 39 years old, single/married, Filipino, with postal address at

Mercedes, Zamboanga City, under oath depose and say;
That I am the biological father of the following children, as follows :
1. NADZRI B. KARIL, born on January 16, 2006 at Tumitus, Zamboanga City;

2. RIDZMA B. KARIL, born on March 16, 2007 at Tumitus, Zamboanga City; and
3. ADZMIR B. KARIL, born on September 12, 2015 at Tumitus, Zamboanga
City;
That all the above mentioned children were immunized at the Limaong, Tumitus
Health Center, Zamboanga City; As such we were issued an IMMUNIZATION CARD by
the said Health Center;
That the said IMMUNIZATION CARDs were lost/misplaced in my possession;
That effort were exerted to locate the said IMMUNIZATION CARD but the same
IN WITNESS WHEREOF, I have hereunto set my hand this 8 th day of July, 2019
JOJO T. KARIL
Affiant

ATTY. LYNETTE A. LACANDALO

Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, KAYE I. CANAR , 30 years old, single/married, Filipino, with postal address at

Upper Calarian, Zamboanga City, under oath depose and say;
That I am the mother of KOBE I. CANAR, 4 years old;
That he/she is a holder of a PERSONS WITH DISABILITY (PWD) ID issued by

the DSWD, Zamboanga City;
That the said PERSONS WITH DISABILITY (PWD) ID was lost/misplaced in

his/her possession;
ID but the same proved futile and in vain, hence, he/she considered it lost beyond
recovery;
fact and specifically for the purpose of granting his/her request for issuance of a new
one and for whatever legal purpose this may serve in general.
IN WITNESS WHEREOF, I have hereunto set my hand this 27 th day of August,

KAYE I. CANAR
Affiant

ATTY. TIMHAR M. ASDAON

Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, ALDHAJID B. KUYONG, 26 years old, single/married, Filipino, and a resident

of Southcom Village, Zamboanga City, under oath depose and say;
That last June 6, 2019 I requested for An Authenticated copy of my

TRANSCRIPT OF RECORD and HONORABLE DISMISSAL with the WMSU ,
Zamboanga City:
That I was issued a REQUEST FORM by the said Institution;
That the said REQUEST FORM was lost/misplaced in my possession;
That effort were exerted to locate the said REQUEST FORM but the same
IN WITNESS WHEREOF, I have hereunto set my hand this, 2019 at Zamboanga

City, Philippines.
ALDHAJID B. KUYONG
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 11th day of June, 2019 at

ATTY. LILIAN S. JULJANI

Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, ALDHAJID B. KUYONG, 26 years old, single/married, Filipino, and a resident

of Southcom Village, Zamboanga City, under oath depose and say;
That I am a holder of an EVALUATION FORM issued by the Taguig City

University;
That the said EVALUATION FORM was lost/misplaced in my possession;
That effort were exerted to locate the said EVALUATION FORM but the same
IN WITNESS WHEREOF, I have hereunto set my hand this, 2019 at Zamboanga

City, Philippines.
ALDHAJID B. KUYONG
Affiant


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, KORINA FAITH A. AKIL, 23 years old, single/married, Filipino and with a

residence and postal address at Talon-Talon, Zamboanga City, under oath depose and
say:
That last September 25, 2016 I took and pass the Licensure Examination for
Teachers (LET), as such I was issued a Professional Teacher’s License/ID by the
Professional Regulations Commission;
That the said License/ID was lost/misplaced in my possession;
That effort were exerted to locate the said License/ID but the same proved futile
and in vain, hence, I considered it lost beyond recovery;
IN WITNESS WHEREOF, I have hereunto set my hand this 21 st day of October

2019 in Zamboanga City, Philippines.
KORINA FAITH A. AKIL

Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 21st day of October 2019 in


Public Attorney III
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
Re: RAFFLE COUPON
I, ROSELYN C. CADAY, 40 years old, single/married, Filipino and with a

residence and postal address at Gov. Alvarez Street, Zamboanga City, under oath
depose and say:
That I am a holder of a RAFFLE COUPON with no. 011534 issued by the

Shopper’s Central, Zamboanga City;
That the said RAFFLE COUPON was lost/misplaced in my possession;
That effort were exerted to locate the said RAFFLE COUPON but the same

2019 in Zamboanga City, Philippines.
ROSELYN C. CADAY
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 9th day of August, 2019 in


Public Attorney III
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : CERTIFICATE OF REGISTRATION
I, BENNAJAR T. HAIRAL, 61 years old, single/married, Filipino and with a

residence and postal address at Sta. Barbara, Zamboanga City under oath depose and
say:
That I am a holder of a Certificate of Registration dated January 13, 2015

issued by the Bureau of Internal Revenue;
That the said Certificate of Registration was lost/misplaced in my possession;
That effort were exerted to locate the said Certificate of Registration but the
IN WITNESS WHEREOF, I hereunto set my hand this 20th day of February, 2019
MAJID, FATIMA SHAIMA YUSOP

Affiant


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, ALDHAKIER H. ARABANI, 23 years old, single/married, Filipino and with a

residence and postal address at Talon-Talon, Zamboanga City under oath depose and
say:
That I am a holder of a Certificate of Registration (ALS) issued by the

Department of Education;
IN WITNESS WHEREOF, I hereunto set my hand this 16th day of July, 2019 at
ALDHAKIER H. ARABANI
Affiant


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, BENNAJAR T. HAIRAL, 61 years old, single/married, Filipino and with a

residence and postal address at Sta. Barbara, Zamboanga City under oath depose and
say:
That I bought a Toyota Jeep from Anastacio Penaflor however the Certificate of
Registration has not been transferred in my name;
BENNAJAR T. HAIRAL
Affiant

ATTY. TIMHAR S. ASDAON

Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : CERTIFICATE OF AWARD
I, HAPIPA TANJILANI ABTALIN, 48 years old, married, Filipino and with a

residence and postal address at Rio Hondo, Zamboanga City under oath depose and
say:
That I am a holder of a CERTIFICATE OF AWARD issued by the National

Housing Authority, Zamboanga City;
That the said CERTIFICATE OF AWARD was lost/misplaced in my possession;
That effort were exerted to locate the said CERTIFICATE OF AWARD but the
HAPIPA TANJILANI ABTALIN

Affiant

ATTY. SHARINA I. TAHIR-KANNI

Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, IAN PELAYO MONTESUR , 21 years old, single, Filipino, with postal address
at San Roque, Zamboanga City, after having been sworn to an oath in accordance with
That I am a holder of a BARANGAY ID issued by the Barangay San Roque,

Zamboanga City;
That the said BARANGAY ID was lost/misplaced in my possession;
That effort were exerted to locate the said BARANGAY ID but the same proved

IAN PELAYO MONTESUR

Affiant
CTC w/no.08360829


Public Attorney I
X----------------- x
AFFIDAVIT
RE : NON-RECEIPT OF SS ID
I, JENELYN S. ACEBEDO , 24 years old, single, Filipino, and a resident of

Ayala, Zamboanga City after having been sworn to an oath in accordance with law,
That as such I have never received my SS ID up to this date;
fact and specifically for the purpose of requesting the SSS Authorities to issue me an ID
JENELYN S. ACEBEDO
Affiant


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE: SS IDENTIFICATION CARD
I, SAHIBOL, SHEILA M. , 27 years old, Filipino, single, and residing at

Tulungatung, Zamboanga City, under oath depose and say:
That I am a holder of a IDENTIFICATION CARD issued by the SSS, Zamboanga

City;
That effort were exerted to locate the said IDENTIFICATION CARD but the same
IN WITNESS WHEREOF, I have hereunto set my hand this 9th day of January,
SAHIBOL, SHEILA M.
Affiant
PRC ID : 1936017


Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE: TIN CARD
I, YAP, MARGIE AGAN , 46 years old, Filipino, married, and presently residing
at Sta. Maria, Zamboanga City, under oath depose and say:
That I am a holder of a TIN CARD issued by the Bureau of Internal Revenue;
That the said TIN CARD was lost/misplace in my possession;
That efforts were exerted to locate the said TIN CARD but the same proved futile
IN WITNESS WHEREOF, I hereunto set my hand this 1st day of December, 2022
YAP, MARGIE AGAN

Affiant
PHIC ID w/no.14-202014066-5
SUBSCRIBED AND SWORN TO BEFORE ME this 1st day of December, 2022


Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, EDILBERTO R. MENDOZA, 44 years old, single, Filipino and with a residence

and postal address at Tugbungan, Zamboanga City under oath depose and say:
That I am the son of LUISITA R. MENDOZA, 70 years old;
That she is a SS member, as such she was issued a SS ID by the said

Institution;
That the said SS ID was lost/misplaced in her possession;
That efforts were exerted to locate the said SS ID but the same proved futile and
in vain, hence, she considered it lost beyond recovery;
facts, specifically for issuance of a new SS ID and for whatever legal purpose this may
serve in general.
IN WITNESS WHEREOF, I hereunto set my hand this 4th day of March, 2021 at
EDILBERTO R. MENDOZA
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 4th day of March, 2021 at


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, MA. ELVINA A. BUTAWAN , 28 years old, single/married, Filipino and with a

residence and postal address at Muti, Tolosa, Zamboanga City, under oath depose and
say:
That I am a holder of a VISITOR LETTER issued by ACE Hardware;
That the said VISITOR LETTER was lost/misplaced in my possession;
That efforts were exerted to locate the said VISITOR LETTER but the same
facts, specifically for issuance of a new VISITOR LETTER and for whatever legal
purpose this may serve in general.
IN WITNESS WHEREOF, I have hereunto set my hand this 5 th day of April, 2019
MA. ELVINA A. BUTAWAN

Affiant

ATTY. RHEA DOLL B. GONZALO

Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, RYAN N. VENDIOLA , 30 years old, single/married, Filipino and with a

residence and postal address at Lunzuran, Zamboanga City, under oath depose and
say:
That I am a holder of a PHIL. PORT AUTHORITY (PPA) ID;
That the said PHIL. PORT AUTHORITY (PPA) ID was lost/misplaced in my

possession;
That efforts were exerted to locate the said PHIL. PORT AUTHORITY (PPA) ID
facts, specifically for issuance of a new PHIL. PORT AUTHORITY (PPA) ID and for
whatever legal purpose this may serve in general.
IN WITNESS WHEREOF, I have hereunto set my hand this 11 th day of March,

RYAN N. VENDIOLA
Affiant


Public Attorney II
X------------------x
AFFIDAVIT OF LOSS
RE: DEATH CERTIFICATE
I, APRIL MARK B. ESCALA, 25 years old, Filipino, single, and presently

residing at Naga, Zamboanga Sibugay, after having been duly sworn to an oath depose
and say:
That I am the Father of MARTIN SANGCAAN ESCALA, who died last July 03,
2021 at Zamboanga City Medical Center, Zamboanga City Covid 19;
That I was issued a duly accomplished Certificate of Death by the ZCMC to

be brought to the Local Civil Registrar to register the said Certificate of Death;
That Two (2) pages of the said Certificate of Death was/were lost/misplaced in
my possession;
That efforts were exerted to locate the said Certificate of Death but the same

August,2021at Zamboanga City, Philippines.
APRIL MARK B. ESCALA

Affiant
TIN CARD : 741-760-211-000
SUBSCRIBED AND SWORN TO BEFORE ME this 5th day of August,2021 in


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE: ATTESTED APPOINTMENT
I, CHERUBIM M. HASHIM, 28 years old, Filipino, single/married, and presently

residing at Canelar, Zamboanga City, after having been sworn to an oath in accordance
with law, hereby depose and state:
That I am a Teacher-I having a regular (permanent) status with assignment at

Ayala District, Zamboanga City;
That as such, I was issued an ATTESTED APPOINTMENT by the Department

of Education, Region IX, Division of Zamboanga City;
That the said ATTESTED APPOINTMENT was lost/misplaced in my possession;
That effort were exerted to locate the said ATTESTED APPOINTMENT but the

CHERUBIM M. HASHIM
Affiant


Public Attorney III
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : BARANGAY ID
I, RICHARD S. IBAÑEZ, 41 years old, Filipino, single, with residence and postal
address at Guiwan, Zamboanga City, after having been sworn to an oath in accordance
That I am a resident of Guiwan, Zamboanga City;
That as such, I was issued an IDENTIFICATION CARD by the said barangay;

RICHARD S. IBAÑEZ
Affiant


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : DAILY TIME RECORD
I, ORLAND M. MIRASOL, 23 years old, single/married, Filipino and presently

residing at Upper Calarian, Zamboanga City, after having been sworn to an oath in
That I am an ON THE JOB trainee at Zamboanga City Water District, as such I

am a holder of a Daily Time Record from July to October, 2018;
That the said DAILY TIME RECORD covering the said months were
lost/misplaced in my possession;
That effort were exerted to locate the said DAILY TIME RECORD but the same
IN WITNESS WHEREOF, I have hereunto set my hand this 1 st day of March,

ORLAND M. MIRASOL
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 1st day of March, 2019 in


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : CLAIM STUB
I, SITTI SANDRA S. ABDILLA , 19 years old, Filipino, single, and presently

residing at Tetuan, Zamboanga City, after having been sworn to an oath in accordance
That last December 19, 2022, I applied for a replacement of my ATM with Land
Bank of the Philippines, Pettit Baracks, Zamboanga City for which I was issued a Claim
Receipt/Stub;
That the said RECEIPT/CLAIM STUB was lost/misplaced in my possession;
That effort were exerted to locate the said RECEIPT/CLAIM STUB but the same
SITTI SANDRA S. ABDILLA

Affiant
School ID:2022100613


Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : PHILSYS TRANSACTION SLIP
I, FERNANDEZ, JANICE C. , 35 years old, Filipino, married, and presently

residing at Sta. Catalina, Zamboanga City, after having been sworn to an oath in
That last April 19, 2022, I applied for a NATIONAL ID, for which I was issued a
PHILSYS TRANSACTION SLIP;
That the said PHILSYS TRANSACTION SLIP was lost/misplaced in my

possession;
That effort were exerted to locate the said PHILSYS TRANSACTION SLIP but
the same proved futile and in vain, hence, I considered it lost beyond recovery;
FERNANDEZ, JANICE C.
Affiant
Brgy. ID:2021-002022


Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : CLAIM STUB
I, LITO Q. MARTICIO , 39 years old, Filipino, single, and presently residing at

Southcom Village, Zamboanga City, after having been sworn to an oath in accordance
That last July 19, 2022, I requested for an authenticated copy of my Certificate of
No Marriage with the PSA and I made a payment with the Bayad Center at SM Minpro,
Zamboanga City, for which I was issued a Claim Receipt/Stub;
That the said RECEIPT/CLAIM STUB was lost/misplaced in my possession;
That effort were exerted to locate the said RECEIPT/CLAIM STUB but the same

LITO Q. MARTICIO
Affiant
AFP Enlistment ID:375985


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : EXAMINATION SLIP
I, DAUD, FAINALYN I. , 35 years old, Filipino, married, and presently residing at

Suterville, Zamboanga City, after having been sworn to an oath in accordance with law,
That I am a holder of an EXAMINTATION SLIP (CSC exam for August, 2022)

issued by the Civil Service Commission;
That the said EXAMINTATION SLIP was lost/misplaced in my possession;
That effort were exerted to locate the said EXAMINTATION SLIP but the same
IN WITNESS WHEREOF, we hereunto set our hand this 25th day of July, 2022
DAUD, FAINALYN I.
Affiant
TESDA ID w/no.EITI-TWSP-FBS-000055-22


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : CLAIM RECEIPT
I, ADJID, NURSIMA ILAHAN , 42 years old, Filipino, married, and presently

residing at Mampang, Zamboanga City, after having been sworn to an oath in
That last November 04, 2021, I applied for a NATIONAL ID with the PSA held at
Mampang Elementary School, Zamboanga City, for which I was issued a CLAIM
RECEIPT;
That the said CLAIM RECEIPT was lost/misplaced in my possession;
That effort were exerted to locate the said CLAIM RECEIPT but the same proved
IN WITNESS WHEREOF, I hereunto set my hand this 2nd day of February, 2022
ADJID, NURSIMA ILAHAN

Affiant
TIN CARD w/no.422-287-517-000
SUBSCRIBED AND SWORN TO BEFORE ME this 2nd day of February, 2022 at


Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : OFFICIAL RECEIPT
I, SARAIL, ALBERT SITIN , 18 years old, single, Filipino and presently residing
at Tugbungan, Zamboanga City, after having been sworn to an oath in accordance with
That last January 22, 2023, I requested for an authenticated copy of the
Certificate of Live Birth of my brother Alfadz Sitin Sarail and I paid the amount of
P155.00 at SM Bayad Center ; that I was issued an OFFICIAL RECEIPT;
That the said OFFICIAL RECEIPT was lost/misplace in my possession;
That efforts were exerted to locate the said OFFICIAL RECEIPT but the same

SARAIL, ALBERT SITIN

Affiant
Driver’s License : J17-22-001649


Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : CERTIFICATE OF FULL PAYMENT
I, DUMAWEL, EMILY M. , 47 years old, single/married, Filipino and presently

residing at Sta. Maria Extension, Zamboanga City, after having been sworn to an oath
in accordance with law, hereby depose and state:
That I am a holder a CERTIFICATE OF FULL PAYMENT with Acct. no.60-86-

01-01-A0843 issued by College Assurance Plan;
That the said CERTIFICATE was lost/misplace in my possession;
That efforts were exerted to locate the said CERTIFICATE but the same proved
IN WITNESS WHEREOF, we hereunto set our hand this 13th day of

DUMAWEL, EMILY M.
Affiant
SS ID w/no.10-0616662-0


Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : CLAIM STUB (GSAT RESULT)
I, APRIL JANE E. SARDOMA , 32 years old, single/married, Filipino and

presently residing at Talon-Talon, Zamboanga City, after having been sworn to an oath
That sometime August, 2016, I took the GSAT administered by WMSU,

Zamboanga City;
That as such, I was issued a CLAIM STUB by the said Institution;
That said CLAIM STUB was lost/misplaced in my possession;
That efforts were exerted to locate the said CLAIM STUB but the same proved
IN WITNESS WHEREOF, I have hereunto set my hand this 8 th day of July, 2019
APRIL JANE E. SARDOMA

Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 8th day of July, 2019 in


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : EXAMINATION PERMIT
I, JOBEL U. FABIAN JR. , 20 years old, single/married, Filipino and presently

residing at Mercedes, Zamboanga City, after having been sworn to an oath in
That last March 08, 2020, I applied for a PAF ENLISTMENT;
That Last March 2, 2020 I was issued an EXAMINATION PERMIT by the said
Institution;
That said EXAMINATION PERMIT was lost/misplaced in my possession;
That efforts were exerted to locate the said EXAMINATION PERMIT but the

September, 2019 at Zamboanga City, Philippines.
JOBEL U. FABIAN JR.

Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 28th day of September, 2019


Public Attorney III
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : CAT RESULT
I, ANJERICO M. CABAYAO, 19 years old, single/married, Filipino and presently

residing at San Roque, Zamboanga City, after having been sworn to an oath in
That last May 2018, I took and passed the College Admission Test (CAT)
administered by ZSCMST;
That as such, a result of my CAT exam was given to me;
That said CAT RESULT was lost in my possession;
That efforts were exerted to locate the said CAT RESULT but the same proved

June, 2018 at Zamboanga City, Philippines.
ANJERICO M. CABAYAO
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 13th day of June, 2018 in

ATTY. SHERGINE C. TEH.

Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : CLAIM STUB
I, ASMINA J. SAPPARI , 22 years old, single/married, Filipino and presently

residing at Sta. Barbara, Zamboanga City, after having been sworn to an oath in
That I requested for an Authenticated copy of my Transcript of Record with the

WMSU, Zamboanga City;
That as such, I was issued a CLAIM STUB by the said Institution;
That said CLAIM STUB was lost/misplaced in my possession;
That efforts were exerted to locate the said CLAIM STUB but the same proved
IN WITNESS WHEREOF, I have hereunto set my hand this 17th day of July,
ASMINA J. SAPPARI
Affiant


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : SS ID
I, JAMANG, PARISA A. , 38 years old, Filipino, single, presently residing at

Sto. Niño, Zamboanga City, after having been sworn to in accordance with law, hereby
depose and state;
That I am a SS member/retiree;
That I was issued a SS ID by the SSS, Zamboanga City;
That the said SS ID was lost/misplaced in my possession;
That effort were exerted to locate the said SS ID but the same proved futile and
in vain, hence, I considered it lost beyond recovery;
IN WITNESS WHEREOF, I hereunto set my hand this 23rd day of December,

JAMANG, PARISA A.
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 23rd day of December,


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : GSIS UMID CARD
I, MONTEGRANDE, CARMELITA J. , 63 years old, Filipino, widow, presently

residing at Southcom Village, Zamboanga City, after having been sworn to in
accordance with law, hereby depose and state;
That I am a GSIS member;
That I was issued a UMID CARD (Union Bank) by the GSIS, Zamboanga City;
That the said UMID CARD was lost/misplaced in my possession;
That effort were exerted to locate the said UMID CARD but the same proved
MONTEGRANDE, CARMELITA J.
Affiant
Voter’s ID :7332-0104A


Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : SS ID
I, NESTOR L. LUMAMBONG , 40 years old, married, Filipino, and presently

residing at Boalan, Zamboanga City, after having been sworn to in accordance with law,
hereby depose and state;
That I am the wife of JUANITO L. PALAD;
That he/she a SS member;
That he/she was issued a SS ID by the Social Security System, Zamboanga

City;
That the said SS ID was lost/misplaced in his/her possession;
That effort were exerted to locate the said SS ID but the same proved futile and
in vain, hence, he/she considered it lost beyond recovery;
NARCISA A. PALAD
Affiant


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE: GSIS UMID CARD
I, MANUEL, RINA F. , 42 years old, Filipino, married , and a resident of Sinunuc,

That I am a GSIS member/pensioner;
That I was issued a UMID CARD by the GSIS, Zamboanga City;
That efforts were exerted to locate the said UMID CARD but the same proved
IN WITNESS WHEREOF, we hereunto set our hand this 11 th day of May, 2022 at
MANUEL, RINA F.
Affiant
Prof. ID Card w/#0737926
SUBSCRIBED AND SWORN TO BEFORE ME this 11th day of May, 2022


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE: GSIS E CARD
I, DAISYFE S. OCAY , 32 years old, single, Filipino, and a resident of

That I am a GSIS member;
That I was issued an E CARD by the GSIS/Land Bank of the Philippines;
That the said E CARD was lost/misplaced in my possession;
That efforts were exerted to locate the said E CARD but the same proved futile
IN WITNESS WHEREOF, we hereunto set our hand this 3rd day of January, 2020
DAISYFE S. OCAY
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 3rd day of January, 2020 at

ATTY. SHARINA T. KANNI

Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE: GSIS UMID CARD
I, RESHEEMA M. MUNDOC, 43 years old, separated, Filipino, and a resident of

San Jose Gusu, Zamboanga City, under oath depose and say:
That I am the daughter of NURULKAMRI S. MUNDOC,72 years old;
That he/she was issued a UMID CARD with by the GSIS, Zamboanga City;
That the said UMID CARD was lost/misplaced in his/her possession;
IN WITNESS WHEREOF, we hereunto set our hand this 23 rd day of January,

RESHEEMA M. MUNDOC
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 23rd day of January, 2020 at


Public Attorney III
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE: SS UMID CARD
I, ANALYN A. JAWANG , 32 years old, married, Filipino and presently residing

at Asinan, Zamboanga City, Zamboanga City, under oath depose and say:
That I am a SSS member/pensioner;
That I was issued a UMID CARD by the SSS, Zamboanga City;
ANALYN A. JAWANG
Affiant
Brgy.ID w/no.JMM-2677


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE: SS ID
I, ESIC, JENNY E. , 30 years old, married, Filipino, with postal address at Ayala,
That I am a SSS member;
That I was issued an IDENTIFACTION CARD by the SSS, Zamboanga City;
That the said IDENTIFACTION CARD was lost/misplaced in my possession;
That efforts were exerted to locate the said IDENTIFACTION CARD but the

ESIC, JENNY E.
Affiant
PHIC ID w/no.14-050158749-0
SUBSCRIBED AND SWORN TO BEFORE ME this 25th day of January, 2022 in


Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE: M1 FORM (Maternity Notification)
I, MADZ FHARA U. CLIMACO , 27 years old, single/married, Filipino and with a

residence and postal address at Sinunuc, Zamboanga City, under oath depose and say:
That I am a SSS member;
That I am a holder of M1 FORM (Maternity Notification) by the SSS,

Zamboanga City;
That the said M1 FORM (Maternity Notification) was lost/misplaced in my

possession;
That efforts were exerted to locate the said M1 FORM (Maternity Notification)
IN WITNESS WHEREOF, I have hereunto set my hand this 3rd day of

MADZ FHARA U. CLIMACO

Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 3rd day of September, 2018


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
WAIVER OF RIGHTS AND GRANT OF AUTHORITY
I, ABDUL BAQUI S. RASUL, 65 years old, Filipino, married and presently

residing at 208 Azucena Street, Suterville , Zamboanga City, under oath depose and
say:
That I am a member/Guardian/Pensioner/Beneficiary/Claimant of the Social

Security System;
That I am opening a bank account with the Land Bank of the Philippines (LBP),
under savings account no. _____ for the crediting of my benefits, pension, loan
proceeds or any amount due me from the Social Security System (SSS);
That I am waiving my rights under existing banking and other applicable laws,
rules and regulations as a depositor of LBP in relation to said account;
That I hereby authorize the SSS without any notice to or consent on my part to
directly and immediately recover, any amount credited to the subject account due to
error, fraud or misrepresentation in relation to any SSS related transactions; and to
debit, reverse, adjust or correct the amounts credited to the subject amount, inquire in
the account’s status, as well as freeze or close the same, as the SSS may deem proper
or necessary;
Upon the termination or closure of the subject bank account due to my death or
any other contingency or cause, I authorize LBP to turn-over to the SSS the remaining
balance in my account necessary to fully settle said obligations as the case may be; and
I hereby hold LBP and/or SSS or any of its officers and employees free and
harmless from any and all liabilities, claims or demands relative to the issuance/release
of my new card or those arising from or in connection with this Waiver of Rights and
Grant of Authority;
That I have read and fully understood the provisions of the Waiver of Rights and
Grant of Authority, and that I have freely and voluntarily executed the same.
IN WITNESS WHEREOF, I have hereunto set our hand this 3 rd day of February,
ABDUL BAQUI S. RASUL

Affiant
Senior ID :081033
SUBSCRIBED AND SWORN TO BEFORE ME this 3rd day of February, 2023 at


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
I, AMY P. CAROLASDOLASAN , 23 years old, Filipino, single, and with

residence and postal address at Recodo, Zamboanga City, under oath depose and say:
That I am a member/Guardian/Pensioner/Beneficiary/Claimant of the Social

Security System;
That I am opening a bank account with the RCBC under savings account no.
_____ for the crediting of my benefits, pension, loan proceeds or any amount due me
from the Social Security System (SSS);
That I am waiving my rights under existing banking and other applicable laws,
rules and regulations as a depositor of RCBC in relation to said account;
That I hereby authorize the SSS without any notice to or consent on my part to
or necessary;
Upon the termination or closure of the subject bank account due to my death or
any other contingency or cause, I authorize RCBC to turn-over to the SSS the
remaining balance in my account necessary to fully settle said obligations as the case
may be; and
I hereby hold RCBC and/or SSS or any of its officers and employees free and
of my new card or those arising from or in connection with this Waiver of Rights and
Grant of Authority;
That I have read and fully understood the provisions of the Waiver of Rights and
Grant of Authority, and that I have freely and voluntarily executed the same.
AMY P. CAROLASDOLASAN
Affiant


Public Attorney III
X - - - - - - - - - - - - - - - - - - -x
I, DARIO A. ALEYA, 58 years old, married, Filipino, with residence and postal
address at Baliwasan, Zamboanga City, under oath depose and say:
That I am the spouse of FERMIN P. PALALON, a member/pensioner of the

Social Security System;
That he is opening a bank account with the Land Bank of the Philippines (LBP),
under savings account no. _____ for the crediting of his benefits, pension, loan
proceeds or any amount due him from the Social Security System (SSS);
That he is waiving his rights under existing banking and other applicable laws,
rules and regulations as a depositor of LBP in relation to said account;
That he hereby authorizes the SSS without any notice to or consent on his part to
or necessary;
Upon the termination or closure of the subject bank account due to his death or
any other contingency or cause, he authorizes LBP to turn-over to the SSS the
remaining balance in his account necessary to fully settle said obligations as the case
may be; and
He hereby holds LBP and/or SSS or any of its officers and employees free and
of his new card or those arising from or in connection with this Waiver of Rights and
Grant of Authority;
That he has read and fully understood the provisions of the Waiver of Rights and
Grant of Authority, and that he has freely and voluntarily executed the same.

MARILYN V. PALALON
Affiant


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF NON-ACCEPTANCE/RECEIPT
OF SSS CHECK
I, TERESITA V. TUMAOB , 68 years old, widow, Filipino, with residence and

postal address at Asinan, Manicahan, Zamboanga City, under oath depose and say:
That I am a member of the Social Security System;
That sometime in 2016, I went to the SSS office situated at Zamboanga City to
follow-up the claim for my father’s (CELESTINO VICENTE, SS # 10-0004269-8) lump
sum;
That I waited for the office to send/issue to me the said lump sum in the form of a
check in my given address stated in the application form which I filled-up and submitted
with them but even to date, I have not received the same. That I waited long enough for
the issuance of the said lump sum in the form of a check with No. 0002581456 dated
__________ in the amount of P4,800.00;
That I am therefore executing this affidavit to attest to the truth of the foregoing
narration of facts as I have alleged particularly the non-receipt of the SSS Check and for
all legal intents and purposes this may serve in general.
TERESITA V. TUMAOB
Affiant


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, RALF MYLON ITURRALDE y BARCELON, 27 years old, single, Filipino and

with residence and postal address at Talon-Talon, Zamboanga City, under oath
deposes and says:
That I am a member of the Social Security System with no. 10-1106141-9;
That last February 4, 2019, I applied for a salary loan with Social Security
System, Zamboanga City;
That the said LOAN was approved and the check (LANDBANK) with no.
2768289 amounting to NINE THOUSAND (P9,000.00) PESOS was handed to me by
our company (PHERMEX) Human resource personnel;
That the said CHECK) was lost/misplaced in my possession;
That efforts were exerted to locate the said CHECK but the same proved futile
That I am therefore executing this affidavit to attest to the truth of the foregoing
narration and for all legal intents and purposes this may serve in general.
EDGAR L. MANONGCAS
Affiant


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF UNDERTAKING
I, MAGNOLIA H. MOLINA, 50 years old, widow, Filipino, with residence and

postal address at San Jose Gusu, Zamboanga City, under oath depose and say:
That I am the wife of the late ERIC IBAֹÑEZ MOLINA, who died on August 04,
2019 at Home-Limook, Lamitan, Basilan;
That my husband is a bond fide member of the Armed Forces Savings and Loan
Association, Inc. (AFPSLAI) and also duly covered by a Credit Redemption Insurance
(CRI);
That I am requesting AFPSLAI authorities to facilitate my claim for the CRI Burial
Benefits and to allow me to receive the said benefits also for and in behalf of the other
heirs/beneficiaries of my late husband;
That I will hold myself criminally and civilly responsible for any liability that may
arise in connection with my receipt of the above-mentioned CRI Burial Benefits in
relation to the death of my husband ERIC IBAֹÑEZ MOLINA and further free AFPSLAI
and/or the Insurance Company from liability relative thereto.
MAGNOLIA H. MOLINA
Affiant


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, JOSE GENE IRVIN C. BELLO, 24 years old, single/married, Filipino, with

residence and postal address at San Roque, Zamboanga City, under oath depose and
say:
That I am a Registered Nurse by profession;
That I was issued a CERTIFICATE OF REGISTRATION (RN) issued by the

Professional Regulation Commission;
That sometime March, 2014 the said CERTIFICATE OF REGISTRATION (RN)

was lost/misplaced in my possession;
That efforts were exerted to locate the said CERTIFICATE OF REGISTRATION

(RN) but the same proved futile and in vain, hence, I considered it lost beyond recovery;
JOSE GENE IRVIN C. BELLO

Affiant

ATTY. EDGARDO D. GONZALES

Regional Public Attorney
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
Re : MEMBERSHIP ID
I, SARAH BIBO SAIDI , 60 years old, Filipino, widow , and residing at Sta.
Catalina, Zamboanga City, under oath depose and say:
That I am a holder of a MEMBERSHIP ID issued by ZAMCELCO, Zamboanga

City;
That the said MEMBERSHIP ID was lost/misplaced in my possession;
That efforts were exerted to locate the said MEMBERSHIP ID but the same
IN WITNESS WHEREOF, I have hereunto set our hand this 9 th day of February,
SARAH BIBO SAIDI

Affiant
NGO ID :003801


Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, LAJA, NURGFAIZA A. , 28 years old, married, Filipino, with postal address at

Baliwasan, Zamboanga City, under oath depose and say:
That I am the mother of MOHAMMAD MISHAL ABDULKAHIL, 10 years old and

a member of UNBOUND Zamboanga Project Foundation,, Inc., Zamboanga City;
That she is a holder of the UNBOUND identification Card;
That the said UNBOUND identification Card was lost/misplaced in his

possession;
That efforts were exerted to locate the said UNBOUND identification Card but the
same proved futile and in vain, hence, he considered it lost beyond recovery;
IN WITNESS WHEREOF, I hereunto set my hand this 13 th day of December, 2022 at

LAJA, NURGFAIZA A.
Affiant
Health Cert :035351


Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, MARY ROSE E. ARADO, 16 years old, single, Filipino, with postal address at
Camino Nuevo, Zamboanga City, under oath depose and say:
That I am a holder of an IDENTIFICATION CARD (UNBOUND) issued by CFCA,

Zamboanga City;
IN WITNESS WHEREOF, I hereunto set my hand this 4th day of June, 2019 at
MARY ROSE E. ARADO

Affiant
Assisted by :
MARY ANN E. ARADO

Sister

ATTY. RHEA DOLL B.GONZALO

Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, CHERRY V. BATIQUIN, 43 years old, married, Filipino, with postal address at

San Roque, Zamboanga City, under oath depose and say:
That I am the mother of KERBY V. BATIQUIN, 12 years old;
That he is a holder of an IDENTIFICATION CARD (UNBOUND) issued by

CFCA, Zamboanga City;
That the said IDENTIFICATION CARD was lost/misplaced in his possession;
same proved futile and in vain, hence, he considered it lost beyond recovery;
IN WITNESS WHEREOF, I hereunto set my hand this 13 th day of August, 2021 at

CHERRY V. BATIQUIN
Affiant
Company ID w/#100601


Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : PROF. ID CARD
I, LIMEN, ARIELLE JOY AUREA , 27 years old, single, Filipino and presently
residing at San Roque, Zamboanga City, under oath depose and say:
That I am a holder of a PROF. ID CARD (CRIMINOLOGIST) issued by the

That the said PROF. ID CARD was lost/misplaced in my possession;
That efforts were exerted to locate the said PROF. ID CARD but the same
IN WITNESS WHEREOF, I have hereunto set my hand this 23 rd day of January,

LIMEN, ARIELLE JOY AUREA

Affiant
SUBSCRIBED AND SWORN TO BEFORE ME 23rd day of January, 2023 at


Public Attorney I
.
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : PROF. ID CARD
I, FATIMAH A. IJIRAN , 28 years old, single, Filipino and presently residing at

Sta. Maria, Zamboanga City, under oath depose and say:
That I am a holder of a BARANGAY ID issued by the Office of the Barangay

Chairman of Sta. Maria;
That the said BARANGAY ID was lost/misplaced in my possession;
That efforts were exerted to locate the said BARANGAY ID but the same proved
IN WITNESS WHEREOF, I hereunto set my hand this 4th day of October, 2022 at
FATIMAH A. IJIRAN
Affiant
CTC w/no.08277058

ATTY. JOHN PHILIP Z.DELOTINA

Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : NOTICE OF ADMISSSION
I, JENNY MAE T. FRANCISCO, 26 years old, single, Filipino, with postal

address at Mercedes, Zamboanga City, under oath depose and say:
That sometime March, 2019, I applied for the L.E.T. with the Professional
Regulation Commission;
That I was issued a NOTICE OF ADMISSION by the said Institution;
That the said NOTICE OF ADMISSION was lost/misplaced in my possession;
That efforts were exerted to locate the said NOTICE OF ADMISSION but the
IN WITNESS WHEREOF, I hereunto set my hand this 2nd day of December, 2022
JENNY MAE T. FRANCISCO

Affiant
PRC ID w/no.1743550
SUBSCRIBED AND SWORN TO BEFORE ME this 2nd day of December, 2022


Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : NOTICE OF ADMISSSION
I, JENNY MAE T. FRANCISCO, 26 years old, single, Filipino, with postal

address at Mercedes, Zamboanga City, under oath depose and say:
That I am a holder of a TESTING PERMIT issued by the Ministry of Basic Higher

Technical Education, Tawi-Tawi;
That the said TESTING PERMIT was lost/misplaced in my possession;
That efforts were exerted to locate the said TESTING PERMIT but the same
IN WITNESS WHEREOF, I hereunto set my hand this 2nd day of December, 2022
JENNY MAE T. FRANCISCO

Affiant
PRC ID w/no.1743550


Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : CERTIFICATE OF ELIGIBILITY
I, MA. CHARMIE CORAZON M. VALLON, 33 years old, single/married, Filipino,

with residence and postal address at Sta. Maria, Zamboanga City, under oath depose
and say:
That I am a holder of a CERTIFICATE OF ELIGIBILITY (Midwifery) issued by

the Professional Regulation Commission;
That the said CERTIFICATE OF ELIGIBILITY was lost/misplaced in my

possession;
That efforts were exerted to locate the said CERTIFICATE OF ELIGIBILITY but
IN WITNESS WHEREOF, I hereunto set my hand this 23rd day of July, 2018 at
MA. CHARMIE CORAZON M. VALLON

Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 23rd day of July, 2018 at


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, ERNESTO F. DEALCO , 72 years old, single/married, Filipino, with residence

and postal address at Upper Calarian, Zamboanga City, under oath depose and say:
That I am a holder of a CERTIFICATE OF OWNERSHIP (Memorial Lot with

number 5A0293) at Hillside Memorial Garden Inc., Zamboanga City ;
That the said CERTIFICATE OF OWNERSHIP was lost/misplaced in my

possession;
That efforts were exerted to locate the said CERTIFICATE OF OWNERSHIP but
IN WITNESS WHEREOF, I hereunto set my hand this 8 th day of February, 2022

ERNESTO F. DEALCO
Affiant
Retired Enlisted Personnel ID w/no. 653959


Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, LOURDES B. BAYRON, 49 years old, single/married, Filipino, with residence

and postal address at Maasin, Zamboanga City, under oath depose and say:
That I am the daughter of ANITA B. BUSCAS a holder of a LOT TITLE and

CERTIFICATE OF OWNERSHIP (memorial lot) at Zamboanga Memorial Garden;
That the said LOT TITLE and CERTIFICATE OF OWNERSHIP were

That efforts were exerted to locate the said LOT TITLE and CERTIFICATE OF
OWNERSHIP but the same proved futile and in vain, hence, I considered it lost beyond
recovery;
IN WITNESS WHEREOF, I hereunto set my hand this 21 st day of May, 2019 at

LOURDES B. BAYRON
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 21st day of May, 2019 at


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, FAUSTINA G. ENRIQUEZ , 67 years old, married, Filipino, and a resident of

Divisoria, Zamboanga City, under oath depose and say:
That the said TIN CARD was lost/misplaced in my possession;
That efforts were exerted to locate the said TIN CARD but the same proved
IN WITNESS WHEREOF, I hereunto set my hand this 16th day of February 2022
FAUSTINA G. ENRIQUEZ
Affiant
OSCA ID w/no. 058027
SUBSCRIBED AND SWORN TO BEFORE ME this 16th day of February 2022 at


Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE: BOARD CERTIFICATION
I, KAREN J. CALUNGSOD, 34 years old, single, Filipino, with residence and

postal address at Putik, Zamboanga City, under oath depose and say:
That I am a holder of a BOARD CERTIFICATION (Nursing) issued by the

That the said BOARD CERTIFICATION was lost/misplaced in my possession;
That efforts were exerted to locate the said BOARD CERTIFICATION but the
IN WITNESS WHEREOF, I have hereunto set my hand this 9 th day of July,

KAREN J. CALUNGSOD
Affiant


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : BOARD CERTIFICATE
I, FATIMA-AINIE A. HABIBUN , 28 years old, single, Filipino, with residence and

postal address at San Roque, Zamboanga City, under oath depose and say:
That I am a holder of a BOARD CERTIFICATE (RN) issued by the Professional

Regulation Commission;
That the said BOARD CERTIFICATE was lost/misplaced in my possession;
That efforts were exerted to locate the said BOARD CERTIFICATE but the same
FATIMA-AINIE A. HABIBUN
Affiant


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : PROFESSIONAL ID
I, ZURAIDA T. PALINTA , 42 years old, single/married/widow, Filipino and with a

residence and postal address at Basilan under oath depose and say:
That I am a holder of a PROFESSIONAL IDENTIFICATION CARD (Real Estate

Appraiser) issued by the Professional Regulations Commission, Zamboanga City;
That the said PROFESSIONAL IDENTIFICATION CARD ID was lost/misplaced

in my possession;
That effort were exerted to locate the said PROFESSIONAL IDENTIFICATION

CARD but the same proved futile and in vain, hence, I considered it lost beyond
recovery;

ZURAIDA T. PALINTA
Affiant


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
Re : MEMBERSHIP ID
I, ELMA C. PANGANIBAN, 40 years old, single/married, Filipino and with a

residence and postal address at Patalon, Zamboanga City under oath depose and say:
That I am a holder of a MEMBERSHIP ID issued by the ZAMCELCO;
That the said ID was lost/misplaced in my possession;
That efforts were exerted to locate the said ID but the same proved futile and in
vain, hence, I considered it lost beyond recovery;

ELMA C. PANGANIBAN
Affiant

ATTY. SHERGINE C. TEH

Public Attorney II
.
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, RYAN CABANGCALA, 33 years old, married, Filipino and with a residence

and postal address at San Roque, Zamboanga City under oath depose and say:
That I am the mother of PINKY JANE R. ANSING, 10 years old;
That she is a holder of a MEMBERSHIP ID issued by the CFCA Zamboanga

City;
That the said MEMBERSHIP ID was lost/misplaced in my possession;
That effort were exerted to locate the said MEMBERSHIP ID but the same
IN WITNESS WHEREOF, I hereunto set my hand this 23rd day of February, 2018
CARMELITA R. ANSING
Affiant


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : LOYALTY CARD
I, ANNALISA B. DALUS , 28 years old, married, Filipino and with a residence

and postal address at Baliwasan, Zamboanga City under oath depose and say:
That I am a PAG-IBIG member;
That I was issued a LOYALTY CARD by the PAG-IBIG, Zamboanga City;
That the said LOYALTY CARD was lost/misplaced in my possession;
That efforts were exerted to locate the said LOYALTY CARD but the same
IN WITNESS WHEREOF, I hereunto set my hand this 8 th day of July, 2022 at

ANNALISA B. DALUS
Affiant


Public Attorney III
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : PAG-IBIG LOYALTY CARD
I, SORONIO, ROSALIA P. , 44 years old, Filipino, single , and a resident of

Zambowood, Zamboanga City under oath depose and say:
That I am a PAG-IBIG member;
That I was issued a LOYALTY CARD (NEW) by the HMDF (PAG-IBIG),

Zamboanga City;
That the said LOYALTY CARD was lost/misplaced in my possession last March
05, 2020;
That efforts were exerted to locate the said LOYALTY CARD but the same
IN WITNESS WHEREOF, I hereunto set my hand this 11th day of November,

SORONIO, ROSALIA P.
Affiant
SS UMID Card w/no.0111-6157014-8


Public Attorney I
(Pursuant to R.A.9406)
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : GSIS UMID CARD
I, ANANG U. TAMMANG, 79 years old, Filipino, widow, and presently residing at

Mercedes, Zamboanga City under oath depose and say:
That I am a holder of a UMID CARD issued by the GSIS/LAND BANK,

Zamboanga City ;
That effort were exerted to locate the said UMID CARD but the same proved
IN WITNESS WHEREOF, I hereunto set my hand this 9th day of December, 2019
ANANG U. TAMMANG
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 9th day of December, 2019 at


Public Attorney II

X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : GSIS ATM CARD (TEMPORARY)
I, DAISYFE S. OCAY, 33 years old, Filipino, single, and presently residing at

Tulungatung, Zamboanga City under oath depose and say:
That I am a holder of a ATM CARD (TEMPORARY)issued by the GSIS/LAND

BANK, Zamboanga City ;
That the said ATM CARD (TEMPORARY)was lost/misplaced in my possession;
That effort were exerted to locate the said ATM CARD (TEMPORARY) but the
DAISYFE S. OCAY
Affiant

Public Attorney II

X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : TIN CARD
I, MAJA R. SITIN , 44 years old, single/married, Filipino, and a resident of

Catumbal, Zamboanga City, under oath depose and say:
That efforts were exerted to locate the said TIN CARD but the same proved futile
IN WITNESS WHEREOF, I hereunto set my hand this 30th day of August, 2019
MAJA R. SITIN
Affiant

Public Attorney II

X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, ERNESTO C. LACASTESANTOS , 52 years old, single/married, Filipino and

with a residence and postal address at Upper Pasonanca, Zamboanga City under oath
depose and say:
That I am a holder of a MEBERSHIP ID issued by the Manila Teacher’s

Association;
That effort were exerted to locate the said TIN CARD but the same proved futile
GYPSIE ANN C. PACON

Affiant

Public Attorney II

X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : POSTAL ID
I, ARANAN, HALIL H. , 34 years of age, Filipino, single, and presently residing

at Baliwasan, Zamboanga City, under oath depose and say:
That I am a holder of a POSTAL ID issued by the PHIL. POST, Inc.;
That the said POSTAL ID was lost/misplaced in my possession;
That efforts were exerted to locate the said POSTAL ID but the same proved

ARANAN, HALIL H.
Affiant


Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, CHERRILYN E. SALBAYANI , 29 years old, Filipino, single/married/widow,

and presently residing at Mampang, Zamboanga City, under oath depose and say:
That I a finished my BS Nursing at Universidad de Zamboanga, Zamboanga City;
That I all my requirements were submitted including my CASES re: RELATED

LEARNING EXPERIENCE (R.LE.) with the said School:
That the said RELATED LEARNING EXPERIENCE (R.LE.) was/were

That efforts were exerted to locate the said RELATED LEARNING EXPERIENCE
(R.LE.) but the same proved futile and in vain, hence, I considered it lost beyond
recovery;

MA CHERRILYN E. SALBAYANI
Affiant


Public Attorney II

X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : VOTER’S ID
I, HAJIHIL W. MUTALIB , 65 years old, Filipino, widower, Filipino, and presently

residing at Tetuan, Zamboanga City, after having been sworn to in accordance with law,
That I am a holder of a VOTER’S ID issued by the Commission on Election;
That the said VOTER’S ID was lost/misplaced in my possession;
That effort were exerted to locate the said Voter’s ID but the same proved futile
IN WITNESS WHEREOF, I hereunto set my hand this 23rd day of January

HAJIHIL W. MUTALIB
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 23rd day of January 2020 at

Public Attorney III

X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, MACMENEY R. MIGOTE , 21 years old, single/married, Filipino, with postal

address Sangali, Zamboanga City, under oath depose and say:
That I am a holder of CERTIFICATE OF PROFICIENCY (Basic Training and

SDSD) issued by the MARINA, Manila City;
That the said CERTIFICATE OF PROFICIENCY (Basic Training and SDSD)

was lost/misplaced in my possession;
That effort were exerted to locate the said CERTIFICATE OF PROFICIENCY

(Basic Training and SDSD) but the same proved futile and in vain, hence, I considered
it lost beyond recovery;
IN WITNESS WHEREOF, I have hereunto set my hand this 4th day of March,
MACMENEY R. MIGOTE
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 4th day of March, 2019 in

Public Attorney II

X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : PERSON’S WITH DISABILITY (PWD) ID
I, IBRAHIM, RAYYAN A., 19 years old, single, Filipino and with a residence and
postal address at Sta. Barbara, Zamboanga City under oath depose and say:
That I am the Grand daughter of NIHMA S. AMINULLA;
That he/she is a holder of a PWD ID issued by the DSWD, Zamboanga City;
That the said PWD ID was lost/misplaced in his/her possession;
That effort were exerted to locate the said PWD ID but the same proved futile
and in vain, hence, he/she considered it lost beyond recovery;

IBRAHIM, RAYYAN A.
Affiant
School ID: 126-210-100-301

Public Attorney I

X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : PERSON’S WITH DISABILITY (PWD) ID
I, JEAN Q. MONTINOLA , 41 years old, single, Filipino and with a residence and
postal address at Tetuan, Zamboanga City under oath depose and say:
That I am a holder of a PWD ID issued by the DSWD, Zamboanga City;
That the said PWD ID was lost/misplaced in my possession;
That effort were exerted to locate the said PWD ID but the same proved futile
IN WITNESS WHEREOF, we hereunto set our hand this 3rd day of February,
JEAN Q. MONTINOLA
Affiant
Voter’s ID:7332-1402A


Public Attorney II

X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : NOTICE OF ADMISSION
I, ARNAHAR S. HAMID, 22 years old, single/married, Filipino and with a

residence and postal address at Talon-Talon, Zamboanga City under oath depose and
say:
That sometime this month (July 2018), I applied for a Licensure Examination for
Teacher with the Professional Regulations Commission, Zamboanga City;
That I was issued a NOTICE OF ADMISSION by the said Institution;
That said NOTICE OF ADMISSION was lost/misplaced in my possession;
That effort were exerted to locate the said NOTICE OF ADMISSION but the
ARNAHAR S. HAMID
Affiant


Public Attorney II

X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : SEAMAN’S BOOK
I, DANILO R. SUMANDAY , 51 years old, married, Filipino and presently

residing at Lanzones, Zamboanga City under oath depose and say:
That I am a holder of a SEAMAN’S BOOK issued by the Maritime Industry

Authority;
That the said SEAMAN’S BOOK was lost/misplaced in my possession;
That effort were exerted to locate the said SEAMAN’S BOOK but the same
IN WITNESS WHEREOF, I hereunto set my hand this 28th day of September,

DANILO R. SUMANDAY
Affiant
Company ID w/#__________


Public Attorney I

X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : CERTIFICATE OF BOARD RATING
I, ROEL M. BENIGAY , 47 years old, single/married, Filipino and with a

residence and postal address at San Jose Gusu, Zamboanga City under oath depose
and say:
That I am a Registered Teacher having passed the Licensure Examination for

Teachers conducted by the Professional Regulations Commission;
That I was issued a CERTIFICATE OF BOARD RATING by the said Institution;
That the said CERTIFICATE OF BOARD RATING was lost/misplaced in my

possession;
That effort were exerted to locate the said CERTIFICATE OF BOARD RATING
ROEL M. BENIGAY
Affiant

Public Attorney II

X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : DAILY TIME RECORD
I, DARELL DAVE B. PONCE , 27 years old, single/married, Filipino and with a

residence and postal address at Mampang, Zamboanga City under oath depose and
say:
That I am an employee of HYPERMARKET, City Mall, Zamboanga City;
That I am a holder of a DAILY TIME RECORD for the month of December, 2020
with the following dates as follows: December 17, December 25 and December 31;
That the said DAILY TIME RECORD was lost/misplaced in my possession;
That effort were exerted to locate the said DAILY TIME RECORD but the same
DARELL DAVE B. PONCE
Affiant


Public Attorney I

x - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : ACCESS PASS
I, ROBERT S. BUCOY, 35 years old, single/married, Filipino and with a

residence and postal address at Tugbungan, Zamboanga City, under oath depose and
say:
That I am a holder of a ACCESS PASS issued by the CAAP, Zamboanga City;
That the said ACCESS PASS was lost/misplaced in my possession;
That effort were exerted to locate the said ACCESS PASS but the same proved
ROBERT S. BUCOY
Affiant


Public Attorney III

x - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, VICTORIANO BORNEA GORIT, 49 years old, married, Filipino, and a resident

of Malagutay, Zamboanga City, under oath depose and say:
That I am a holder of an AFP-PA ID issued by the AFP, GHQ, Taguig City;
That the said AFP-PA ID was lost/misplaced in my possession;
That efforts were exerted to locate the said AFP ID but the same proved futile
IN WITNESS WHEREOF, I hereunto set my hand this 8 th day of July, 2022 at

VICTORIANO BORNEA GORIT

Affiant
AFP-ENLISTED PERSONNEL w/no.A20-E-242947


Public Attorney II
x - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, ALDRIN S. FERRER , 22 years old, single, Filipino, and a resident of

Pasobolong, Zamboanga City, under oath depose and say:
That I am a regular member of the Philippine Air Force;
That I was issued an AFP ID by the AFP, GHQ, Villamor Air Base, Pasay City;
That the said AFP ID was lost/misplaced in my possession;
That efforts were exerted to locate the said AFP ID but the same proved futile
IN WITNESS WHEREOF, I hereunto set my hand this 14 th day of January,

ALDRIN S. FERRER
Affiant


Public Attorney II
x - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : PNP RETIREE ID
I, BONIFACIO C. MORADOS, 62 years old, single/married, Filipino and with a

residence and postal address at Guiwan, Zamboanga City, under oath depose and say:
That I am a retired PNP POfficer;
That I am a holder of a PNP RETIREE ID issued by the PNP, GHQ, Camp

Crame, Quezon City;
That the said PNP RETIREE ID was lost/misplaced in my possession;
That effort were exerted to locate the said PNP RETIREE ID but the same
IN WITNESS WHEREOF, I hereunto set my hand this 22nd day of June , 2018 at
BONIFACIO C. MORADOS
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 22nd day of June, 2018 at


Public Attorney II
x - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : AFP (PHILIPPINE MARINES) ID
I, JONATHAN D. GONZALES , 44 years old, single, Filipino and with a

residence and postal address at Manicahan, Zamboanga City, under oath depose and
say:
That I am a member of the Philippine Marines (AFP);
That I am a holder of an AFP (PHILIPPINE MARINES) ID issued by the GHQ-

AFP;
That the said AFP (PHILIPPINE MARINES) ID was lost/misplaced in my

possession;
That effort were exerted to locate the said AFP (PHILIPPINE MARINES) ID but

JONATHAN D. GONZALES
Affiant


Public Attorney II
x - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : EMPLOYEE’S ID
I, ARIDJAN, AL-KHRAMER T. , 27 years old, Filipino, single , and a resident of

Mampang, Zamboanga City, under oath depose and say:
That I am an employee of ZAMPEN, Zamboanga City;
That I was issued an EMPLOYEE’S ID by the said Institution;
That the said EMPLOYEE’S ID was lost/misplaced in my possession;
That effort were exerted to locate the said EMPLOYEE’S ID but the same proved
IN WITNESS WHEREOF, I hereunto set my hand this 11th day of November,

ARIDJAN, AL-KHRAMER T.
Affiant
PRC ID w/no.0943045


Public Attorney I
x - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : EMPLOYEE’S ID
I, NAPALCRUZ, JENNIFER F. , 45 years old, Filipino, single , and a resident of

Bunguiao, Zamboanga City, under oath depose and say:
That I am an employee of UNIVERSAL CANNING CORP., Zamboanga City;
That I was issued an EMPLOYEE’S ID by the said Company;
That the said EMPLOYEE’S ID was lost/misplaced in my possession;
That effort were exerted to locate the said EMPLOYEE’S ID but the same proved
NAPALCRUZ, JENNIFER F.
Affiant
PHIC ID w/no.09-025236933-2


Public Attorney I
x - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : SCHOLARSHIP ID
I, AUBREY MAE T. RIVERA, 17 years old, Filipino, single , and a resident of

Sinunuc, Zamboanga City, under oath depose and say:
That I am a holder of a SCHOLARSHIP ID issued by the Unbound Child Asso.,

Zamboanga City;
That the said SCHOLARSHIP ID was lost/misplaced in my possession;
That effort were exerted to locate the said SCHOLARSHIP ID but the same
AUBREY MAE T. RIVERA

Affiant
Assisted by :
FELICIANO III F. RIVERA

Father

Zamboanga City, Philippines. Affiant exhibited her School ID with no. 126104090422

Public Attorney III
x - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, CHANELITA F. PUCOT, 58 years old, Filipino, widowed , and a resident of

San Roque, Zamboanga City, under oath depose and say:
That I am the daughter of LEONILA LATO FIEL, who passed away last July 04,
2020 at the ZCMC, Zamboanga City due to Illness;
That I was issued a set or FOUR (4) copies of the CERTIFICATE OF DEATH by
the said Hospital;
That the said the three original copies of the CERTIFICATE OF DEATH were
missing/misplaced in my possession;
That effort were exerted to locate the said copies of the CERTIFICATE OF
DEATH but the same proved futile and in vain, hence, I considered it lost beyond
recovery;
IN WITNESS WHEREOF, I hereunto set my hand this 23rd day of September ,

CHANELITA F. PUCOT
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 23rd day of September,


Public Attorney II
x - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, RELLOSA, MARLON SACRISTAN , 44 years old, Filipino, single , and with

resident and postal address at Tetuan, Zamboanga City, under oath depose and say:
That I am a holder of CERTIFICATE OF EMPLOYMENT issued by the

RESULTS MACTAN, Mactan Newtown, Lapu-Lapu City;
That I was issued a CERTIFICATE OF EMPLOYMENT by the said Company ;
That the said CERTIFICATE OF EMPLOYMENT was lost/misplaced in my

possession;
That effort were exerted to locate the said CERTIFICATE OF EMPLOYMENT but
RELLOSA, MARLON SACRISTAN

Affiant
SS UMID Card w/no.0010-0723478-4


Public Attorney I
x - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : AGENCY ID
I, BACAMANTE, PRINCE KEVIN ROGER D. , 23 years old, Filipino, single , and

with resident and postal address at Cabaluay, Zamboanga City, under oath depose and
say:
That I am an employee of DEPARTMENT OF TOURISM, Regional Office IX,

Zamboanga City;
That I was issued a IDENTIFICATION CARD by the said AGENCY;
IN WITNESS WHEREOF, we hereunto set our hand this 3 rd day of February,

BACAMANTE, PRINCE KEVIN ROGER D.

Affiant


Public Attorney II
x - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : COMPANY ID
I, JELLY ANN A. CABELTES , 24 years old, Filipino, single , and with resident
and postal address at Canelar, Zamboanga City, under oath depose and say:
That I am an employee of UNITOP, Campaner Branch, Zamboanga City;
That I was issued a COMPANY ID by the said COMPANY ;
That the said COMPANY ID was lost/misplaced in my possession;
That efforts were exerted to locate the said COMPANY ID but the same proved

MARIJOY DUMACIN MABITAD

Affiant
SSS UMID ID: 0111-8013053-0


Public Attorney I
x - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : COMPANY ID
I, YBAÑEZ, ARLAN JAY P. , 30 years old, Filipino, single , and residing at

Guiwan, Zamboanga City, under oath depose and say:
That I am an employee of the KCC Mall de Zamboanga, Zamboanga City;
That I was issued a COMPANY ID by the said Company;
That effort were exerted to locate the said COMPANY ID but the same proved

YBAÑEZ, ARLAN JAY P.

Affiant
Driver’s License :J13-21-000758


Public Attorney II
x - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : PNP ID
I, MIKAIL A. INDANAN , 45 years old, Filipino, married , and a resident of putik,

That I am a PNP Personnel. As such I am a holder of an IDENTIFICATION

CARD issued by the said Institution;
That the said IDENTICATION CARD was lost/misplaced in my possession;
That effort were exerted to locate the said IDENTICATION CARD but the same
IN WITNESS WHEREOF, we hereunto set our hand this 1st day of February,
MIKAIL A. INDANAN
Affiant
Pag-Ibig Loyalty Card :1760-0045-2026
SUBSCRIBED AND SWORN TO BEFORE ME this 1st day of February, 2023 at


Public Attorney III
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : HEALTH CARD
I, AHMAD ALPA IRAGAN , 32 years old, single, Filipino and presently residing
at Camino Nuevo, Zamboanga City, after having been sworn to an oath in accordance
That I am a holder of a HEALTH CARD (Green) issued by the City Health

Office, Zamboanga City;
That the said HEALTH CARD was lost/misplaced in my possession;
IN WITNESS WHEREOF, we hereunto set our hand this 10th day of

February, 2023 at Zamboanga City, Philippines.
AHMAD ALPA IRAGAN

Affiant
Postal ID :M57210186567


Public Attorney I

x - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : COMPANY ID
I, OZARAGA, REYNALDO JR. D. , 24 years old, Filipino, single, and residing at

Ayala, Zamboanga City, under oath depose and say:
That I am an employee of the MEGA FISHING CORP., Zamboanga City;
That I was issued a COMPANY ID by the said Company;
That effort were exerted to locate the said COMPANY ID but the same proved
IN WITNESS WHEREOF, I hereunto set my hand this 18day of November, 2019 at

OZARAGA, REYNALDO JR. D.

Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 18day of November, 2019 at


Public Attorney II
x - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : COMPANY CLEARANCE
I, NORMA I. HASSAN , 22 years old, Filipino, married, and residing at

That I am a former employee of the SOUTH WEST ASIAN CANNING CORP.,

Talisayan, Zamboanga City;
That sometime 2020, I resigned and accomplished a COMPANY CLEARANCE

issued by the said Company;
That the said COMPANY CLEARANCE was lost/misplaced in my possession;
That effort were exerted to locate the said COMPANY CLEARANCE but the
NORMA I. HASSAN
Affiant
Brgy. ID : 01-23-0202
SUBSCRIBED AND SWORN TO BEFORE ME this 30th day of January, 2023


Public Attorney I
x - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : IDENTIFICATION CARD
I, ELINOR G. JACINTO, 44 years old, single/married, Filipino and with a

residence and postal address at Lumbangan, Zamboanga City, under oath depose and
say:
That I am a holder of an IDENTIFICATION CARD issued by CARD SME BANK,

INC. Zamboanga City;
That I was issued a IDENTIFICATION CARD by the said Insitution;
ELINOR G. JACINTO
Affiant


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, CELESTINO B. MANALO , 70 years old, widower, Filipino and presently

residing at Canelar, Zamboanga City, after having been sworn to an oath in accordance
That I am the husband of MELISSA S. MANALO (Deceased);
That she is a holder of a POLICY CONTRACT with no. L16445459F with the St.
Peter LIFE PLAN;
That the said POLICY CONTRACT was lost/misplaced in her possession;
proved futile and in vain, hence, she considered it lost beyond recovery;

CELESTINO B. MANALO
Affiant

ATTY. KAL KAUSAR S.KADIL

Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, NOEL DUJALI FRANCISCO , 39 years old, married, Filipino and presently

residing at Lunzuran, Zamboanga City, after having been sworn to an oath in
That I am a holder of a POLICY CONTRACT issued by AFP-MBAI, Zamboanga

City;
That the said POLICY CONTRACT was lost/misplaced in my possession;

NOEL DUJALI FRANCISCO

Affiant
GSIS UMID CARD CRN:006-0174-2369-0


Public Attorney III
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : POLICY CONTRACT
I, RUFINO T. SABTULA , 51 years old, married, Filipino and presently residing

at Upper Calarian, Zamboanga City, after having been sworn to an oath in accordance
That I am a holder of a POLICY CONTRACT issued by the AFPMBAI;
That the said Policy Contract was lost/misplaced in my possession;
That effort were exerted to locate the said Policy Contract but the same proved
RUFINO T. SABTULA
Affiant


Public Attorney II

X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : PROOF OF COVERAGE
I, SHIERLEY R. LACANELAOSANTOS , 62 years old, married, Filipino and

presently residing at La Paz, Zamboanga City, after having been sworn to an oath in
That I am a holder of a PROOF OF COVERAGE/Insurance of PMFC,

Zamboanga City.;
That the said PROOF OF COVERAGE was lost/misplaced in her possession;
That efforts were exerted to locate the said PROOF OF COVERAGE but the
same proved futile and in vain, hence, she considered it lost beyond recovery;
IN WITNESS WHEREOF, I have hereunto set my hand this 9th day of November,
SHIERLEY R. LACANELAOSANTOS
Affiant
Voter’s ID w/VIN 7332-0334B
SUBSCRIBED AND SWORN TO BEFORE ME this 9th day of November, 2021 at


Public Attorney I

X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : PROOF OF COVERAGE
I, SHIERLEY R. LACANELAOSANTOS , 62 years old, married, Filipino and

presently residing at La Paz, Zamboanga City, after having been sworn to an oath in
That I am the mother of NICO JOHN R. LACANELAOSANTOS, deceased;
That he is a holder of a PROOF OF COVERAGE/Insurance of PMFC,

Zamboanga City;
That the said PROOF OF COVERAGE was lost/misplaced in his possession;
That efforts were exerted to locate the said PROOF OF COVERAGE but the
IN WITNESS WHEREOF, I have hereunto set my hand this 9th day of November,
SHIERLEY R. LACANELAOSANTOS
Affiant
Voter’s ID w/VIN 7332-0334B
SUBSCRIBED AND SWORN TO BEFORE ME this 9th day of November, 2021 at


Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, RAPHAEL C. DARLUCIO, 52 years old, single/married, Filipino and presently

residing at Canelar Moret, Zamboanga City, after having been sworn to an oath in
That I am the brother of RACHEL C. DARLUCIO;
That he/she is a holder of a POLICY CONTRACT with no. 2011051536 issued

by AFP-MBAI, Zamboanga City.;
That the said Policy Contract was lost/misplaced in his/her possession;
That efforts were exerted to locate the said Policy Contract but the same proved

July, 2018 at Zamboanga City, Philippines.
RAPHAEL C. DARLUCIO
Affiant


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, LILIAN A. ARCILLAS, 53 years old, single/married, Filipino and presently

residing at Manicahan, Zamboanga City, after having been sworn to an oath in
That I am a holder of a POLICY CONTRACT (No. 6026532) issued by PhilLife

Financial, Zamboanga City.;
That the said Policy Contract was lost/misplaced in his/her possession;
That efforts were exerted to locate the said Policy Contract but the same proved
IN WITNESS WHEREOF, I hereunto set my hand this 6 th day of March, at

LILIAN A. ARCILLAS
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 6th day of March, at


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : CERTIFICATE OF FULL PAYMENT
I, ROGELIO C. DEIRIO , 57 years old, married, Filipino and presently residing at

Guiwan, Zamboanga City, after having been sworn to an oath in accordance with law,
That I am a holder of a CERTIFICATE OF FULL PAYMENT issued by St. Peter

Life Plan Inc.;
That the said CERTIFICATE OF FULL PAYMENT was lost/misplaced in my

possession;
That effort were exerted to locate the said Policy Contract but the same proved
IN WITNESS WHEREOF, I hereunto set my hand this 18th day of September,

ROGELIO C. DEIRIO
Affiant


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF WAIVER
I, MA. GRACELDA P. JUMAWAN, 42 years old, married, Filipino and presently

residing at Lustre, Zamboanga City, after having been sworn to an oath in accordance
That I am the beneficiary of my father, ALAN T. PARDO, a holder of a POLICY

CONTRACT with number R09760025E issued by St. Peter Life Plan Inc.;
That I am waiving my rights and all other claims in favor of my mother, LOLITA S.
PARDO;
IN WITNESS WHEREOF, I hereunto set my hand this 02nd day of May, 2018 at
MA. GRACELDA P. JUMAWAN

Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 02nd day of May, 2018 at


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : PAY SLIP
I, LUISITO VILLARICO ALBERTO JR. , 30 years old, married, Filipino and

presently residing at Upper Tungawan, Zamboanga City, after having been sworn to an
oath in accordance with law, hereby depose and state:
That I lost my Pay slip for the month of July and August, 2022 issued by our
Office (AFP-Philippine Army);
That the PAYSLIP/s was not used for any consideration with any lending
institution;
That the said PAYSLIP/s was lost/misplaced in my possession;
That efforts were exerted to locate the said PAYSLIP/s but the same proved
IN WITNESS WHEREOF, I have hereunto set my hand this 22nd day of August,
LUISITO VILLARICO ALBERTO JR.

Affiant
AFP Enlistment ID w/no.A19-E-201490
SUBSCRIBED AND SWORN TO BEFORE ME this 22nd day of August, 2022 at


Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : PAY SLIP
I, ANDRIAN P. FERNANDEZ , 27 years old, single, Filipino and presently

residing at San Roque, Zamboanga City, after having been sworn to an oath in
That I lost my Pay slip for the month of May, 2019 issued by the our office PN,
FINANCE;
That the PAYSLIP was not used for any consideration with any lending
institution;
That the said PAYSLIP was lost/misplaced in my possession;
That efforts were exerted to locate the said PAYSLIP but the same proved futile
facts to support my application for a loan with ACDI and for whatever legal purpose this
may serve in general.
ARJEN JESUS T. GALAY

Affiant


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : PAY SLIP
I, JONATHAN R. NOPRE , 35 years old, married, Filipino and presently residing

at Southcom Village, Zamboanga City, after having been sworn to an oath in
That I lost my Pay slip for the month of May, 2019 issued by the our office (Phil.
Navy Finance Office, Camp. Bonifacio, Taguig City);
That the PAYSLIP was not used for any consideration with any lending
institution;
That the said PAYSLIP was lost/misplaced in my possession;
That efforts were exerted to locate the said PAYSLIP but the same proved futile
IN WITNESS WHEREOF, I have hereunto set my hand this 2 nd day of July, 2019
JONATHAN R. NOPRE
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 2nd day of July, 2019 in


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : SECURITY GUARD LICENSE
I, ARIEL MONTEBON , 32 years old, single/married, Filipino and presently

residing at Sangali, Zamboanga City, after having been sworn to an oath in accordance
That I am a holder of a SECURITY GUARD LICENSE issued by the SOSIA,

Camp Crame, Quezon City;
That the said SECURITY GUARD was lost/misplaced in my possession;
That effort were exerted to locate the said SECURITY GUARD LICENSE but the
ARIEL MONTEBON
Affiant


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : DEPENDENT ID
I, HENDRA BOONE JUMADIL , 53 years old, married, Filipino and presently

residing at Sta. Barbara, Zamboanga City, after having been sworn to an oath in
That I am a holder of a DEPENDENT ID issued by the PNP GHQ, Camp Crame,

Quezon City;
That the said DEPENDENT ID was lost/misplaced in my possession;
That effort were exerted to locate the said DEPENDENT ID but the same proved
IN WITNESS WHEREOF, I hereunto set my hand this 3rd day of September,

HENDRA BOONE JUMADIL

Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 3rd day of September, 2021


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, NORMINA T. SUMEG-ANG , 62 years old, married, Filipino and presently

residing at Culianan, Zamboanga City, after having been sworn to an oath in
That I am the wife of CORNELIO K. SUMEG-ANG;
That he is a holder of an IDENTIFICATION CARD issued by the PAFCFIC;
proved futile and in vain, hence, he considered it lost beyond recovery;
IN WITNESS WHEREOF, I hereunto set my hand this 23 rd day of March, 2021at

NORMINA T. SUMEG-ANG
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 23rd day of March, 2021 at


Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : PENSIONER ID
I, MUKARANI, JULNI B. , 58 years old, married, Filipino and presently residing

at Campo Islam, Zamboanga City, after having been sworn to an oath in accordance
That I am a holder of a PENSIONER ID issued by the Armed Forces of the

Philippines (AFP);
That the said PENSIONER ID was lost/misplaced in my possession;
That effort were exerted to locate the said PENSIONER ID but the same proved
IN WITNESS WHEREOF, I hereunto set my hand this 21st day of July, 2022 at
MUKARANI, JULNI B.
Affiant
Voter’s ID w/no. 7332-
0240C
SUBSCRIBED AND SWORN TO BEFORE ME this 21st day of July, 2022 at


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : DEPENDENT ID
I, YASHIER A. PANDAOG , 40 years old, Filipino, single/married/widow, and

presently residing at Siocon, Zamboanga del Norte, after having been sworn to an oath
That I am the biological father of the following : AL-YASHIER, 13, years old,
SHERNA-MAE, 12 years old, YASHIER JR., 10 years old, AHMAD, 8 years old and
ABUBAKAR, 7 years old, all surnamed PANDAOG;
That they are a holder of a DEPENDENT ID (AFP-PAF) and PVAO ID;
That the said DEPENDENT ID and PVAO ID were lost/misplaced in their

possession;
That effort were exerted to locate the said DEPENDENT ID and PVAO ID but the
same proved futile and in vain, hence, they considered it lost beyond recovery;
YASHIER A. PANDAOG
Affiant


Public Attorney II

X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, RAMIL B. SANTIAGO, 39 years old, married, Filipino and with a residence and
postal address at Boalan, Zamboanga City under oath depose and say:
That I am a salesman/ collector at Brandlines Enterprises;
That Brandlines issued Sales Invoices number: 42762, 42761,42760, 42759,

42758, 42757:
That the said Sales Invoices was lost/misplaced in my possession;
That effort were exerted to locate the said Sales Invoices but the same proved
RAMIL B. SANTIAGO
Affiant


Public Attorney III
( Pursuant to R.A. 9406)

X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, ENCARNACION R. ORALLO , 64 years old, single/married, Filipino and

presently residing at San Jose Gusu, Zamboanga City, after having been sworn to an
That I am a holder of an IDENTIFICATION CARD issued by the PVAO,

Zamboanga City;

ENCARNACION R. ORALLO
Affiant
OSCA ID w/no. 99614


Public Attorney III
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT
RE: SOLO PARENT
I, KATALINA R. OPINIO , 20 years old, single, Filipino, with postal address at

Sta Catalina, Zamboanga City, after having been sworn to an oath in accordance with
That I have a failed relationship;
That during our union we begot TWO (2) children, aged 6 and 4 years old;
That since we separated due to irreconcilable differences, I am the only one who
solely support our child/children;
That I never had any relationship with any other man;
IN WITNESS WHEREOF, I hereunto set my hand this 20th day of May, 2022 at
YUSOP, FERWINA JUMADIL

Affiant
Phil. Passport w/no.P9985629A


Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT
RE: SOLO PARENT
I, PINGAY, ANISA HAMAD , 52 years old, single, Filipino, with postal address at
Campaner, Zamboanga City, after having been sworn to an oath in accordance with
That I am have a failed relations;
That out of the said relationship, I begot a child named Razel Torres Pingay,
aged 10 years old;
That I was the one who solely supports my children/child;
IN WITNESS WHEREOF, I hereunto set my hand this 10th day of May, 2022
PINGAY, ANISA HAMAD

Affiant
Voter’s ID w/no.7332-0022A

ATTY. RUBY JOY E. ACIBAR-SAIDONA

Public Attorney III
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT
RE: SOLO PARENT
I, RINA H. NASIRIN , 32 years old, Single, Filipino, with postal address at

Baliwasan Tabuk, Zamboanga City, after having been sworn to an oath in accordance
That I am the sister SORIANA H. NASIRIN who had two (2) namely : James
Wayne Nasirin, 6 years old and Vuvhie Kylie Nasirin, 2 years old;
That my sister left our home and never returned. That from then on, I took
custody of the children and I am the one who takes care and provides their needs;
RINA H. NASIRIN
Affiant


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT
RE: SOLO PARENT
I, JUL-ARAB H. PASPASAN , 40 years old, widow, Filipino, with postal address

at San Jose Road, Zamboanga City, after having been sworn to an oath in accordance
That I had a failed relationship (marriage);
That out of the said relationship (marriage), we begot FIVE (5) children, 12, 11, 9,
7 and 5 years old;
That we separated due to irreconcilable differences . That from then on, we live
on our own without financial support from him;
That since then, I was the one who solely supports our child/children;
That I never had any relationship with any other woman;
JUL-ARAB H. PASPASAN
Affiant


Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT
RE: SOLO PARENT
I, FEERRY MAE B. FLORES , 26 years old, widow, Filipino, with postal address
at Putik, Zamboanga City, after having been sworn to an oath in accordance with law,
That I am a widow with a child name : Jae Covie B. Flores;
That had another relationship;
That out of the said relationship I begot a child named Ziara Verse B. Francisco;
That we separated due to irreconcilable differences . That from then on, we live
on our own without financial support from him;
That since then, I was the one who solely supports our child;
IN WITNESS WHEREOF, I hereunto set my hand this 1st day of July, 2022 at
FEERRY MAE B. FLORES

Affiant
PHIC ID w/no.14-050233757-9


Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT
RE: SOLO PARENT
I, ALMIRA T. MALLI, 46 years old, single (Solo Parent), Filipino, with postal
address at Mampanga, Zamboanga City, after having been sworn to an oath in
That I had a relationship;
That out of the said relationship, I begot Two (2) children;
That due to irreconcilable differences we parted ways and his/her where about is
unknown up to this date. I am the only one supporting our children;
That I never had any relationship with any other woman/man;
IN WITNESS WHEREOF, we hereunto set our hand this 1st day of July, 2022 at
ALMIRA T. MALLI
Affiant
SS ID w/no.10-0992238-2


Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT
RE: SOLO PARENT
I, MACAPILI, L-MA K. , 44 years old, single (Solo Parent), Filipino, with postal
address at Suterville, Zamboanga City, after having been sworn to an oath in
That I had a failed relationship;
That out of the said relationship, I begot a child named Aneezah M. Bilao, born
on November 20, 2007;
That since the death of my common law husband. I am the only one supporting
our child/children;
IN WITNESS WHEREOF, I hereunto set my hand this 1st day of April, 2022 at
MACAPILI, L-MA K.
Affiant
PHIC ID w/no.02-
025921572-3
SUBSCRIBED AND SWORN TO BEFORE ME this 1st day of April, 2022 at

Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT
RE: SOLO PARENT
I, ALPA, WONDERLY A. , 43 years old, widow, Filipino, with postal address at

Sta. Catalina, Zamboanga City, after having been sworn to an oath in accordance with
That out of our marriage, we begot FIVE (5) children, aged 12,10,8, 6 and 4
years old;
That after the demise of my husband. I am the only one supporting our children;
ALPA, WONDERLY A.
Affiant


Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT
RE: SOLO PARENT
I, MELODY F. UNDANG , 27 years old, single, Filipino and presently residing at

That out of my union with MARKLYNWELL G. BAGUIO, we begot THREE (3)

children, namely : Al-Nashrie Kurt H. Baguio, 7 years old; Al-Khahier H. Baguio, 4
years old and Almeerah Haili, 2 years old;
That MARKLYNWELL G. BAGUIO left our home and never returned. That from
then on, we live on our own without financial support from him;
That since then, I was the one who solely supports our children;
IN WITNESS WHEREOF, I hereunto set my hand this 19 th day of March, 2019 at

PEARLY B. HAILI
Affiant


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT
RE: SOLO PARENT
I, HARIJA M. KURUPINTAL, 39 years old, widow, Filipino, with postal address

at Sinunuc, Zamboanga City, after having been sworn to an oath in accordance with
That out of our marriage, we begot TWO (2) children, aged 20 and 18 years old;
That he left the conjugal home and never returned. That from then on, we live on
our own without financial support from him/her;
That since then, I was the one who solely supports our child/children;
JESSIBEL S. CANDIDO
Affiant
HDMF ID # 1210-6376-8637


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT
RE: SOLO PARENT
I, HARIJA M. KURUPINTAL, 39 years old, widow, Filipino, with postal address

at Sinunuc, Zamboanga City, after having been sworn to an oath in accordance with
That I am married to TAJI, ASNAWI K.;
That out of our marriage, we begot TWO (2) children, aged 20 and 18 years old;
That after his death, I was the one who solely supports our child/children;
IN WITNESS WHEREOF, I hereunto set my hand this 14 th day of February,

HARIJA M. KURUPINTAL
Affiant
Voter’s ID w/no. 7332-0713A


Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT
RE: SOLO PARENT
I, MARICOR B. GACUTAN, 33 years old, single, Filipino and presently residing

at Pasonanca, Zamboanga City, after having been sworn to an oath in accordance with
That I cohabited with ALKASIM L. TANJIL without benefit of marriage;
That out of our cohabitation, we begot four children named DAVID JAMES, ALI
ZAYNAL, RASHADEE and QASIM, all surnamed Tanjil;
That ALKASIM L. TANJIL was detained at the Zamboanga City Reformatory

Center since March 02, 2018. That from then on, we live on our own without financial
support from him/her;
That I was the one who solely supports our child;
IN WITNESS WHEREOF, I hereunto set my hand this 10 th day of September,

MARICOR B. GACUTAN
Affiant


Public Attorney III
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT
RE: SOLO PARENT
I, NUR-AIDA A. RAMEREZ, 59 years old, widow, Filipino and presently residing

at Sta. Catalina, Zamboanga City, after having been sworn to an oath in accordance
That I am the grandmother of AQMAIDANY PULA, 4 years old and AQMHED-

ADEL GADDONG, 2 years old;
That my daughter got married twice and had Two (2) children, as stated above;
That the where about of my daughter and her husband is unknown up to this
date;
That both children were left in my custody, I am the only one who takes care and
provide their needs;
NUR-AIDA A. RAMEREZ
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 11th day of June, 2019at


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT
RE: SOLO PARENT
I, SARAH LYNNE B. SALI , 35 years old, single, Filipino and presently residing
at Canelar, Zamboanga City, after having been sworn to an oath in accordance with
That I had two failed relationships without the benefit of marriage;
That out of those relationships, I begot a child named XHAMARAH SALI, 2 years
old;
That we live on our own without financial support from my former partners;

SARAH LYNNE B. SALI

Affiant


Public Attorney III
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT
I, MARJORIE B. DE JESUS, 22 years old, widow, Filipino and presently residing

at Malagutay, Zamboanga City, after having been sworn to an oath in accordance with
That I married ARIEL C. DE JESUS last December 08, 2017 at San Roque
Parish officiated by Rev. Fr. Sergio T. Dela Noche Jr.;
That we were not blessed with a child;

MARJORIE B. DE JESUS
Affiant


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT
RE: SOLO PARENT
I, JOLARIN M. CERNA, 33 years old, single, Filipino and presently residing at

Talon-Talon, Zamboanga City, after having been sworn to an oath in accordance with
That I and RYAN A. REVILLAS, lived as husband and wife without the benefit of
marriage;
That out of our cohabitation, we begot a son/daughter/children KEIRA MAE M.

CERNA, 11 years old;;
That RYAN A. REVILLAS left the conjugal home and never returned. That from
then on, we live on our own without financial support from him/her;
That since then, I was the one who solely supports our children;
That I never had any relationship with any other man/woman;
IN WITNESS WHEREOF, I hereunto set my hand this 02 nd day of August, 2018

JOLARIN M. CERNA
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 02nd day of August, 2018 at


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT
RE: SOLO PARENT
I, JENNY ROSE D. ARQUIZA, 27 years old, single, Filipino and presently

residing at Bunguiao, Zamboanga City, after having been sworn to an oath in
That I and ALEX D. MANALO lived as husband and wife without the benefit of
marriage;
That out of our cohabitation, we begot a son/daughter/children named JEDRIX

A. MANALO, 9 years old and PRINCESS ARIYAH A. MANALO, 5 years old;
That ALEX D. MANALO left the conjugal home and never returned. That from
then on, we live on our own without financial support from him/her;
JENNY ROSE D. ARQUIZA

Affiant


Public Attorney II
Doc. No. ______;

Page No. ______;
Book No. II;
Series of 2018.

X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT
RE: SOLO PARENT
I, DARWISA J. HERNANDEZ, 45 years old, single, Filipino and presently

residing at San Jose Gusu, Zamboanga City, after having been sworn to an oath in
That I and ROBIN M. HERNANDEZ were married last May 28, 2008;
That out of our marriage, we begot three son/daughter/children named PRINCE

VENHUR J. HERNANDEZ, 10 years old, DANA J. HERNANDEZ, 6 years old, and
ALVIN HERNANDEZ, 5 years old ;
That ROBIN M. HERNANDEZ left the conjugal home and never returned. That
from then on, we live on our own without financial support from him/her;
IN WITNESS WHEREOF, I hereunto set my hand this 23rd day of July, 2018 at
DARWISA J. HERNANDEZ
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 23rd day of July, 2018 at


Public Attorney II
Pursuant to R.A. 9406)
Doc. No. ______;

Page No. ______;
Book No. II;
Series of 2018

X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT
I, LUZMINDA VI G. YU, 38 years old, single, Filipino and presently residing at

Tumaga, Zamboanga City, after having been sworn to an oath in accordance with law,
That after years of being in a relationship, I conceived and gave birth to my

daughter, Yumi Dhian Yu, 8 years old;
That my previous partner (boyfriend) abandoned me after learning that I was

pregnant with our daughter;
That we (my previous partner and I) never had any communication of any kind,
neither did he support me and my daughter in any way;
That even in the Certificate of Live Birth of my daughter, his name does not
appear therein;
LUZMINDA VI G. YU
Affiant


District Public Attorney
Doc. No. ______;

Page No. ______;
Book No. II;
Series of 2018
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT
RE: SOLO PARENT
I, DELSAN I. SAPURANI , 46 years old, single, Filipino and presently residing at

Sta. Catalina, Zamboanga City, after having been sworn to an oath in accordance with
That I had a failed relationship;
That out of our cohabitation, we begot a THREE (3) children, aged 17, 15 and 12
years old;
That she left the conjugal home and never returned. That from then on, we live
on our own without financial support from her;
That I am the one who solely supports my children;
That I never had any relationship with any other woman;

DELSAN I. SAPURANI
Affiant


Public Attorney III
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT
RE: SOLO PARENT
I, DURAISA M. TAMPALAN , 49 years old, widow, Filipino and presently

residing at San Jose Gusu, Zamboanga City, after having been sworn to an oath in
That I am married to FERDINAND A. TAMPALAN;
That out of our marriage, we begot TWO (2) children, namely : SHAMEEYA, 22
years old and RADSNI-AYEIZHA, 20 years old, all surname TAMPALAN;
That last June 14, 2018 my husband passed away, since then, I was the one
who solely supports our children;
DURAISA M. TAMPALAN
Affiant


Public Attorney III
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT
RE: SINGLE PARENT
I, ERLITA G. YEO, 47 years old, single, Filipino and presently residing at

Recodo, Zamboanga City, after having been sworn to an oath in accordance with law,
That I am the biological mother of ERWIN YEO, who was born on May 01, 1996,
22 years of age;
That I was never married to his father;
That from the moment I learned I was pregnant up to the present, the
whereabouts of his father has been unknown to us;
That since then, my son has been in my custody and I am the one who solely
support for his needs;
That I never had any relationship nor had been married with any other man;
facts, specifically for the purpose of supporting the application of my son with the PNP
Scout Ranger and for whatever legal purpose this may serve in general.

June, 2018 at Zamboanga City, Philippines.
ERLITA G. YEO
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 14th day of June, 2018 in


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT
RE: SOLO PARENT
I, NORA J. ABDURAJIK , 50 years old, widow, Filipino and presently residing at

Sta. Barbara, Zamboanga City, after having been sworn to an oath in accordance with
That I was married to ANWAN ABDURAJIK;
That out of our marriage, we begot a child named : KHADIJAH J. ABDURAJIK,

who was born on March 30, 2008 or 10 years old
That since the death of my husband, I was the one who solely supports our
children;
IN WITNESS WHEREOF, I hereunto set my hand this 29th day of May , 2018 at
NORA J. ABDURAJIK
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 29th day of May , 2018 at


Public Attorney II
Doc. No. ______;

Page No. ______;
Book No. II;
Series of 2018.
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT
RE: SOLO PARENT
I, GLORIA ELCAMEL PATRIA, 59 years old, single, Filipino and presently

residing at Pasonanca, Zamboanga City, after having been sworn to an oath in
That I am the grandmother of LAIZA CARIÑO LIMBAGA who was born on

September 03, 2003 to Leslie P. Limbaga and Riza R. Cariño;
That due to the irreconcilable differences of her parents, the said child was left
under my custody;
That I am the one who supports all of her needs, without any financial help from
both her parents;
GLORIA ELCAMEL PATRIA

Affiant


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT
RE: SOLO PARENT
I, ALRIE Q. CERNA, of legal age, separated-in-fact, Filipino citizen, and a

resident of Sta. Catalina, Zamboanga City, after having been sworn to an oath in
accordance with law, hereby deposes and states:
That I have a previous relationship and begot a child named ATHENA FAYE
CERNA who was born on May 28, 2015, 3 years old;
That I am the one who solely supports my child;
IN WITNESS WHEREOF, I hereunto set my hand this 23 rd day of May, 2018 at

ALRIE Q. CERNA
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 23rd day of May, 2018 at


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT
I, BENHAR B. PUNTUKAN, 17 years old, single, Filipino and residing at Lower

Calarian, Zamboanga City, after having been sworn to an oath in accordance with law,
That last June 19, 2019 I took the placement exam conducted by the DEPED;
That as such, I passed and I was issued a CERTIFICATE OF RATING by the

said Institution;
That the said CERTIFICATE OF RATING was lost/misplaced in my possession;
That effort were exerted to locate the said CERTIFICATE OF RATING but the
same proved futile and in vain, hence, I considered it lost or beyond recovery;
IN WITNESS WHEREOF, I hereunto set my hand this 15 th day of October,

BENHAR B. PUNTUKAN
Affiant
Assisted by :
PUNTUKAN ALI MUKATIL

Father
SUBSCRIBED AND SWORN TO BEFORE ME 15th day of October, 2019 at


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT
I, ZANDRA M. BAIRULLA, 39 years old, widow, Filipino and residing at Lower

Tetuan, Zamboanga City, after having been sworn to an oath in accordance with law,
That last July 19, 2018, a fire razed down;
That in my Expiration Term of Enlistment (ETE), the expiration date was

inadvertently entered as “06 Apr 16”;
That my true and correct expiration term of enlistment date is “06 Apr 19”;
JONIE M. PASTER
Affiant


Public Attorney II
.
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT
RE: NO PENDING CASE
I, ANCHETA, LANCE STEVEN ORIO, 23 years old, single, Filipino, with

residence and postal address at San Jose Gusu, Zamboanga City, after having been
sworn to an oath in accordance with law, hereby depose and state:
That I am applying for Commission with the Philippine Navy of the Philippines to
which a Certificate of No Pending Case is one of the requirements;
That I had never been accused or convicted of any crime either grave or simple
or are there any pending cases filed against me for violation of any law or ordinance
before the Regional Trial Court, Municipal Trial Court in Cities as well as in the Office of
the City Prosecutor;
That in support of this Affidavit, I have also secured a Certification of No Pending

case from the aforementioned courts and office;
facts, specifically to support the Certifications issued by the Police Clearance, NBI,
Office of the City Prosecutor, MTC and RTC Clearances and for whatever legal purpose
this may serve in general.
IN WITNESS WHEREOF, I hereunto set my hand this 1 st day of December, 2021

ANCHETA, LANCE STEVEN ORIO

Affiant
Driver’s License w/no. J13-20-100081
SUBSCRIBED AND SWORN TO BEFORE ME this 1st day of December, 2021 at


Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : AFP ID
I, ROSALITA M. MAYAN , 28 years old, single/married, Filipino and presently

residing at Southcom Village, Zamboanga City, after having been sworn to an oath in
That I am a holder of a AFP ID (PA) issued by the GHQ AFP (PA), Camp
Aguinaldo, Quezon City;
That the said AFP ID was lost/misplaced in my possession;
That effort were exerted to locate the said AFP ID but the same proved futile and
in vain, hence, I considered it lost beyond recovery;
IN WITNESS WHEREOF, I hereunto set my hand this 5 th day of April, 2021 at

ROSALITA M. MAYAN
Affiant

ATTY. RHEA DOLL G. ANADI

Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : AMSLAI ID
I, KINDONG TAJI TAHIL , 71 years old, widow, Filipino and presently residing at
Suterville, Zamboanga City, after having been sworn to an oath in accordance with law,
That I am the wife of ABDULMUIN SADDAIE TAHIL (Deceased);
That he is a holder of an IDENTIFICATION CARD issued by the AMWSLAI

ZAMBOANGA CITY;

KINDONG TAJI TAHIL

Affiant
Beneficiary ID w/no.560514-28130


Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : SECURITY GUARD LICENSE
I, JENNIBOY E. CUAJOTOR , 26 years old, single/married, Filipino, with

residence and postal address at San Roque, Zamboanga City, after having been sworn
to an oath in accordance with law, hereby depose and state:
That I am a holder of a SECURITY GUARD LICENSE issued by the Good

Shepherd Training School, Zamboanga City;
That the said SECURITY GUARD LICENSE was lost/misplaced in my

possession;
That effort were exerted to locate the said SECURITY GUARD LICENSE but the

JENNIBOY E. CUAJOTOR
Affiant


Public Attorney II
X - - - - - - - - - - - - - - - - - --x
AFFIDAVIT
RE : NON-RECEIPT OF POLICY CONTRACT
I, JAMHURI L. ARSAN, 25 years old, single/married, Filipino and presently

residing at Lunzuran , Zamboanga City, after having been sworn to an oath in
That I am a AFP MBAI Member;
That as such I have never received my POLICY CONTRACT up to this date;
fact and specifically for the purpose of requesting the AFP MBAI Authorities to issue me
the said POLICY CONTRACT and for whatever legal purpose this may serve in general.
JAMHURI L. ARSAN
Affiant


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT
RE: Birth Certificate (PSA)
I, CHRISAMAE N. ARANETA, 18 years of age, single, Filipino and a resident of

Upper Calarian, Zamboanga City, Philippines, under oath, depose and state:
That I am a graduating senior high school student of Comtech Institute;
That one of the documents required by the said institution for graduation is my
Certificate of Live Birth duly issued by the Philippine Statistics Authority;
That though I have already applied for the same, said Certificate of Live Birth will
only be released on June 01, 2018 as evidenced by the receipt attached herein;
That I am executing this affidavit to attest to the truth of the foregoing narration, of
CHRISAMAE N. ARANETA
Affiant


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, ABDUL MAHBUD A. ASJALI, 35 years old, married, Filipino, and a resident of

Baliwasan, Zamboanga City, after having been sworn to an oath in accordance with
That I am a holder of a PNP SCOUT CLASS 01- 2010 (CERTIFICATE) issued

by the PNP 9th Regional Special Training Unit, Mercedes, Zamboanga City;
That the said PNP SCOUT CLASS 01- 2010 (CERTIFICATE) was
That effort were exerted to locate the said PNP SCOUT CLASS 01- 2010
(CERTIFICATE) but the same proved futile and in vain, hence, I considered it lost
beyond recovery;
IN WITNESS WHEREOF, I hereunto set my hand this 3 rd day of December, 2019

ABDUL MAHBUD A. ASJALI

Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 3rd day of December, 2019


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
WAIVER
I, ALLAN A. CHIONG, 31 years old, single, Filipino, and a resident of

Tugbungan, Zamboanga City, after having been duly sworn under oath in accordance
with law, do hereby depose and state:
1. That I am a graduate of B.S Marine Transportation at Zamboanga State

College of Marine Sciences and Technology, Zamboanga City;
2. That one of the requirement for graduation is to undergo one year

apprenticeship training with any shipping company;
3. That I am applying for apprenticeship with the Aleson Shipping Lines, Inc. in
the City of Zamboanga;
4. That I hereby freely and voluntarily agree to undergo apprenticeship in any

offices, container yards, and onboard any vessel of Aleson Shipping
Lines ,Inc, and by these reasons, I hereby waive my rights to recover any
damages which I may suffer of account of my apprenticeship training and
even to the extent of death;
5. That I will not hold the captain and owner of the vessel of Aleson Shipping
Lines Inc accountable for any untoward incident that may fall to me in the
course of my apprenticeship training;
6. That I am executing this waiver out of my own free and voluntary will and that
I have not been forced, intimidated, threatened or influenced by any person or
persons in executing the same.
IN WITNESS WHEREOF, I have hereunto set my hand this 22 nd day of August,

ALLAN A. CHIONG
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 22nd day of August, 2018 in


Public Attorney III
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, WAHAB, RASHIDA AMILUSSIN , 25 years old, married, Filipino and presently

residing at Kasanyangan, Zamboanga City, after having been sworn to an oath in
That I am a former employee of Southeast Asian Canning Corp., Talisayan,

Zamboanga City;
That before I left the company I accomplished a CLEARANCE to clear me from

any liabilities in the said Company;
That the said CLEARANCE was lost/misplaced in my possession;
That effort were exerted to locate the said CLEARANCE but the same proved
IN WITNESS WHEREOF, I have hereunto set our hand this 25 th day of January,
WAHAB, RASHIDA AMILUSSIN

Affiant
PHIC ID :14-050243330-6


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
Re : RAFFLE TICKET
I, CLAIRE ANTONETTE S. SUSTIGUER , 25 years old, single, Filipino and

presently residing at Upper Calarian, Zamboanga City, after having been sworn to an
That I am a holder of a WINNING RAFFLE TICKET with number 349572 issued

by the Shopper’s Central, Zamboanga City;
That the said WINNING RAFFLE TICKET was lost/misplaced in my possession;
That effort were exerted to locate the said WINNING RAFFLE TICKET but the

CLAIRE ANTONETTE S. SUSTIGUER

Affiant


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
Re : AFPSLAI ID
I, SAJI, AMIL T. , 79 years old, Filipino, single/married and a resident of Talon-

Talon, Zamboanga City, after having been sworn to an oath in accordance with law,
That I a member of the AFPSLAI:
IN WITNESS WHEREOF, I hereunto set my hand this 22nd day of December,

SAJI, AMIL T.
Affiant


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
Re : MILITARY ID
I, MARCIAL, JOMAR A. , 28 years old, Filipino, single and a resident of

Pasonanca, Zamboanga City, after having been sworn to an oath in accordance with
That I am a personnel/member of AFP-Philippine Army:
That as such, I am a holder of an IDENTIFICATION CARD (MILITARY ID)

issued by the AFP-PA, GHQ, Fort Bonifacio, Quezon City;
IN WITNESS WHEREOF, I hereunto set my hand this 27th day of December,

MARCIAL, JOMAR A.
Affiant
TIN CARD :496-253-722


Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF NO OPERATION OF BUSINESS
I, AGNES M. AGUILAR , 52 years old, widow, Filipino and presently residing at

That I am an owner of a small store/Sari-Sari store with business name Agnes

Store located at Guiwan, Zamboanga City;
That last 2017 I was able to secure a Business Permit;
That last year 2017 I did not renew my business permit for the reason that I went
home to Lamitan, Basilan City;
IN WITNESS WHEREOF, I hereunto set my hand this 15 th day of January, 2020

AGNES M. AGUILAR
Affiant


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, RONELIA P. NAPALCRUZ , 32 years old, single/married, Filipino and

presently residing at Ayala, Zamboanga City, after having been sworn to an oath in
That I am a holder of an AVON ID;
That the said AVON ID was lost/misplaced in my possession;
That effort were exerted to locate the said AVON ID but the same proved futile
IN WITNESS WHEREOF, I hereunto set my hand this 15th day of October, 2020
RONELIA P. NAPALCRUZ
Affiant


Public Attorney III
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, RENE R. PAJARES , 49 years old, married, Filipino and presently residing at

Tugbungan, Zamboanga City, after having been sworn to an oath in accordance with
That I am a holder of a SECURITY GUARD LICENSE/ID issued by the SOSIA,;
That the said SECURITY GUARD LICENSE/ID was lost/misplaced in my

possession;
That effort were exerted to locate the said SECURITY GUARD LICENSE/ID but
RENE R. PAJARES
Affiant


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, JOCELYN P. MALIK , 53 years old, married, Filipino and presently residing at

Mulawin, Mangusu, Zamboanga City, after having been sworn to an oath in accordance
That I am a School Head at Bincul Elementary School, Bincul, Mangusu,

Zamboanga City;
That I am the one who prepared the following documents, as follows : BUDGET
PROPOSAL FOR MOVING UP, GRADUATION & RECOGNITION, ANNUAL
IMPLEMENTATION PLAN and SCHOOL IMPROVEMENT PLAN to be submitted to the
DEP ED Division Office, Zamboanga City;
That above mentioned DOCUMENTS were duly approved and signed by the
concerned officials; Further, the said documents were lost/misplaced in my possession;
That effort were exerted to locate the said DOCUMENTS but the same proved
IN WITNESS WHEREOF, I hereunto set my hand this 2 nd day of March, 2020 at

JOCELYN P. MALIK
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 2nd day of March, 2020 at


Public Attorney II

X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT
Re : CANCELLATION OF MEMBERSHIP
I, ABDEN NUR K. KADIL, 31 years old, married, Filipino and with a residence
and postal address at Putik, Zamboanga City, under oath depose and say:
That I am a member of AFP-MBAI;
That as such I am being deducted the amount of Php1,500.00 more or less

monthly;
That the said amount is a big slashed in my take home salary considering of the
other deductions; Hence, I am cancelling my membership with the AFP-MBAI;
fact and specifically for the purpose of granting my request for CANCELLATION OF MY
MEMBERSHIP WITH THE AFP-MBAI and for whatever legal purpose this may serve in
general.
IN WITNESS WHEREOF, I have hereunto set my hand this 20th day of February,
ABDEN NUR K. KADIL

Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 20th day of February, 2020 in

Public Attorney II

X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, ROSELLER I. UY , 57 years old, Filipino, single/married, and a resident of

Malagutay, Zamboanga City, under oath depose and say;
That I am a holder of a SAP (SOCIAL AMELIORATION PROGRAM FORM)

issued by the DSWD;
That the said SAP FORM was lost/misplace in my possession;
That efforts were exerted to locate the said SAP FORM but the same proved

ROSELLER I. UY
Affiant


Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, LEOPOLDO B. PALIS JR., 29 years old, Filipino, single/married, and a

resident of Camino Nuevo, Zamboanga City, under oath depose and say;
That I am the son of ESTER SL. SOLIS;
That she is a holder of a 24k card issued by Cebuana Lhuillier;
That the said 24k card was lost/misplace in her possession;
That efforts were exerted to locate the said 24k card but the same proved futile
and in vain, hence, she considered it lost beyond recovery;
ERIC SAN LUIS SOLIS

Affiant


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, WADZDI A. AMMAD , 32 years old, Filipino, single/married, and a resident of

Ayala, Zamboanga City, under oath depose and say;
That I am a holder of a SECURITY GUARD ID issued by NEMESES,

Zamboanga City;
That the said SECURITY GUARD ID was lost/misplace in my possession;
That efforts were exerted to locate the said SECURITY GUARD ID but the same
fact and whatever legal purpose this may serve in general.

WADZDI A. AMMAD
Affiant


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
RE : SIM CARD
I, LUPERIO C. LOON JR. , 58 years old, married, Filipino, and a resident of San
Roque, Zamboanga City, under oath depose and say;
That I am a holder of a TM SIM CARD with no.0953-044-4848:
That the said SIM CARD was lost/misplace in my possession;
That efforts were exerted to locate the said SIM CARD but the same proved futile
with the same number and for whatever legal purpose this may serve in general.
IN WITNESS WHEREOF, we hereunto set our hand this 6th day of July, 2022 at
LUPERIO C. LOON JR.

Affiant
Office ID w/#5-47


Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, MAG-ASO, HENRY H. , 60 years old, Filipino, married, and a resident of

Pasonanca, Zamboanga City, under oath depose and say;
That I am a holder of a SECURITY ID issued by the ANTHONY SECURITY

AGENCY, Zamboanga City ;
That the said SECURITY ID was lost/misplaced in my possession;
That efforts were exerted to locate the said SECURITY ID but the same proved
MAG-ASO, HENRY H.
Affiant

Zamboanga City, Philippines. Affiant exhibit to me his/her CTC w/no.CC12020-
15879513.

Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, MASHUR A. SAKANDAL , 49 years old, Filipino, single/married, and a

resident of Asinan, Kasanyangan, Zamboanga City, under oath depose and say;
That I am the daughter of KHADIJA S. MOHAMMAD (Deceased);
That she is a holder of a AWARDEE’S ID CARD issued by the Z3R, Zamboanga

City;
That the said AWARDEE’S ID CARD was lost/misplace in her possession;
That efforts were exerted to locate the said Death Certificate but the same
proved futile and in vain, hence, we considered it lost beyond recovery;

MASHUR A. SAKANDAL
Affiant


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, AKMAD H. MAULUDANI , 40 years old, Filipino, married, and a resident of

Sinunuc, Zamboanga City, under oath depose and say;
That I am the biological father of WINMHER KHAN B. MAULUDANI, 16 years

old, who finished his Grade 10 at WMSU, Zamboanga City;
That she was issued a CERTIFICATE OF COMPLETION by the said Instituion;
That the said CERTIFICATE OF COMPLETION was lost/misplace in his

possession;
That efforts were exerted to locate the said CERTIFICATE OF COMPLETION

but the same proved futile and in vain, hence, he considered it lost beyond recovery;

AKMAD H. MAULUDANI
Affiant

ATTY. PIUS G. MOPRADOS

Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF NON-AVAILABILITY OF BAPTISMAL RECORD
I, RICAMOR R. BENGIL , 40 years old, Filipino, single/married, and a resident of

Upper Cabatangan, Zamboanga City, under oath depose and say;
That I am the daughter in law of PURIFICACION DELOS REYES TRINIDAD,

born on December 07, 1935 at Cabatangan, Zamboanga City to the spouses Hilaria
Delos Reyes and Lino Trinidad;
That she was baptized at Our Lady of Purificacion Church, Sta. Maria,
Zamboanga City and her sponsor are Agripino Bernardo and Isabel Ventura;
That just today I requested for a copy of her Certificate of Baptism with the said
Church;
That as per record of the above mentioned church, her record is no longer
available;
RICAMOR R. BENGIL
Affiant


Public Attorney II
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT
I, ROBIROSE A. GLOVA , 40 years old, Filipino, single/married, and a resident

of Lumbangan, Zamboanga City, under oath depose and say;
That last April 01, 2015, I applied as an Underwriter; As such I paid the
necessary fees for registration with the Office of the City Treasurer;
That since that year, I got employed and I never used my being an Underwriter
up to this date;
IN WITNESS WHEREOF, I have hereunto set my hand this 23rd day of

ROBIROSE A. GLOVA
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 23rd day of December, 2020


Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, MARY ANN R. TORREGOSA, 63 years old, Filipino, married and with

residence and postal address at Tumaga, Zamboanga City, after having been sworn to
an oath in accordance with law, hereby depose and state:
That I am a holder of a BOARD CERTRIFICATE (Physician Licensure Exam)

issued by Professional Regulation Commission;
That the said BOARD CERTRIFICATE was lost/misplaced in my possession;
That effort were exerted to locate the said BOARD CERTRIFICATE but the

December, 2021at Zamboanga City, Philippines.
MARY ANN R. TORREGOSA

Affiant
Phil. Red Cross ID w/#C200007


X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, MARIA VENTURA CALDITO , 71 years old, Filipino, widow and with residence
and postal address at Culianan, after having been sworn to an oath in accordance with
That I am a holder of a KILOWATT METER with serial no. 91161975 issued by

ZAMCELCO;
That the said KILOWATT METER was lost in my possession;
That effort were exerted to locate the said KILOWATT METER but the same

September, 2021at Zamboanga City, Philippines.
ROMMEL A. SANTUG
Affiant
Driver’s License w/#J04-12-001142


X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, FELIPE B. CALDITO JR. , 71 years old, Filipino, widower and with residence
and postal address at Culianan, Zamboanga City, after having been sworn to an oath in
That I am the husband of MARIA VENTURA CALDITO, a Mempco member;
That he/she is a holder of a CERTIFICATE re : Capital Build Up issued by

MEMPCO, Zamboanga City;
That the said CERTIFICATE was lost/misplaced in her possession;
That effort were exerted to locate the said CERTIFICATE but the same proved

FELIPE B. CALDITO JR.

Affiant
AFP Retired Enlisted Personnel ID
w/#R-15-E-148124


` Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT
I, JULIANA B. PANDITA , 55 years old, Filipino, married, and with residence and
postal address at Canelar, Zamboanga City, after having been sworn to an oath in
That I have been connected with Personal Collection from January 29, 2018 up
to December 22, 2018;
That since the day I stop/dealing with Personal Collection I transfer to AVON;
IN WITNESS WHEREOF, I have hereunto set my hand this 4th day of February,
JULIANA B. PANDITA
Affiant


` Public Attorney III
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, JOVERT R. TYCHINGCO , 21 years old, Filipino, single and with residence

and postal address at Divisoria, Zamboanga City, after having been sworn to an oath in
That I am the son of VIRGILIO R. TYCHINGCO (Deceased);
That he is a holder of a PURCHASE AGREEMENT issued by the Forest Lake

Development, Inc., Zamboanga City;
That the said PURCHASE AGREEMENT was lost/misplaced in his possession;
That effort were exerted to locate the said PURCHASE AGREEMENT but the
IN WITNESS WHEREOF, I have hereunto set my hand this 28th day of April,
JOVERT R. TYCHINGCO
Affiant


X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT
I, ABBAS SAID ABDULLA , 49 years old, Filipino, married, and with residence
and postal address at Talon-Talon, Zamboanga City, after having been sworn to an
That I am an Enlistment Personnel of the Armed Forces of the Philippines,

Philippine Army;
That I am the lawful owner of an ENLISTMENT PERSONNEL ID with no. A20-E-

240922 issued on May 22, 2020;
IN WITNESS WHEREOF, I have hereunto set my hand this 3rd day of May,
ABBAS SAID ABDULLA

Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 3rd day of May, 2021 at


` Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, MILHANI M. JAANI , 52 years old, Filipino, married, and with residence and
postal address at Rio Hondo, Zamboanga City, after having been sworn to an oath in
That I am a holder of a FISHERMAN’S LICENSE/ID issued by the BFAR,

Zamboanga City;
That the said FISHERMAN’S LICENSE/ID was lost/misplaced in my possession;
That effort were exerted to locate the said FISHERMAN’S LICENSE/ID but the

MILHANI M. JAANI
Affiant

at Zamboanga City, Philippines. Affiant exhibited his Brgy. ID with no._______.

` Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, SHIRLEY ANN O. KAHID, 50 years old, Filipino, married and with residence
and postal address at Sta. Maria, Zamboanga City, after having been sworn to an oath
That I am the sister of ALAIN FRANCIS B. OLIVAR, he passed away last June
18, 2021;
That my brother is a holder of the following DOCUMENTS and ID issued by the

ST. PETER, as follows : LPA/CONTRACT with no. N11199813A; POLICY
CARD/IDENTIFICATION CARD and CERTIFICATE OF FULL PAYMNET with no.
MWT16-000839;
That the said DOCUMENTS and ID were lost or misplaced;
That effort were exerted to locate the said DOCUMENTS and ID but the same
IN WITNESS WHEREOF, I have hereunto set my hand this 2nd day of July,
SHIRLEY ANN O. KAHID

Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 2nd day of July, 2021 at

Zamboanga City, Philippines. Affiant exhibited her Voter’s ID with no.7332-0661A-
H0570SOK20001-1.
ATTY. ANTONIO LEANDRO C. DAGDAG0

` Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, CASIMIRO, CARLO C. , 29 years old, Filipino, married, and with residence

and postal address at Mercedes, Zamboanga City, after having been sworn to an oath
That I am a holder of a SUPPLIER IDENTIFICATION CARD issued by the

Cecile’s Pharmacy, Zamboanga City;
That the said SUPPLIER ID was lost or misplaced in his/her possession;
That effort were exerted to locate the said SUPPLIER ID but the same proved

CASIMIRO, CARLO C.
Affiant
Driver’s License w/#J04-15-001051


Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, WILFREDO C. YANG JR. , 63 years old, Filipino, married, and with residence
and postal address at Lunzuran, Zamboanga City, after having been sworn to an oath in
That I am an owner of ONE ELECTRIC METER with Acct. no. 04353546 issued
by the ZAMCELCO;
That last Tuesday (December 7, 2021) night we experienced a low voltage in our
current, the following we are the only household with no current in our area;
That when I check our electric meter, I found out that the said meter where
already hanging in the post where it is located; hence, I immediately reported to the
ZAMCELCO authorities;

December, 2021at Zamboanga City, Philippines.
WILFREDO C. YANG JR.

Affiant
OSCA ID with no.075788


X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, MILHANI M. JAANI , 52 years old, Filipino, married, and with residence and
postal address at Rio Hondo, Zamboanga City, after having been sworn to an oath in
That Last October 28, 2021 I had my SALIVA TEST at RED CROSS,
Zamboanga City, as such I was issued an OFFICIAL RECEIPT by the said Institution;
That the said OFFICIAL RECEIPT was lost or misplaced in my possession;
That effort were exerted to locate the said OFFICIAL RECEIPT but the same
IN WITNESS WHEREOF, I have hereunto set my hand this 2nd day of November,
MUSA, HASLIZA SHAHLIKA ALIH

Affiant
Driver’s License with no.J13-20-013248
SUBSCRIBED AND SWORN TO BEFORE ME this 2nd day of November, 2021

ATTY. RHEA DOLL G. ANADI

X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT
Re : FUNERAL EXPENSES
I, ELIZABETH M. MELINDO , 47 years old, Filipino, widow, and with residence

and postal address at Guiwan, Zamboanga City, after having been sworn to an oath in
That I am the wife of JOEL MELINDO, who passed away last September 07,
2021 at Africa due to cardio pulmonary, he was buried last October 15, 2021 at Lund
Memorial, Malagutay, Zamboanga City;
That the following are the expenses incurred during the wake and interment, as
follows :
LUND MEMORIAL PLAN - Php 25,800.00

St. Peter Services - Php 9,608.33
Incidental Expenses - Php 36,088.97
Php 71,497.30
IN WITNESS WHEREOF, I have hereunto set my hand this 21st day of October,
ELIZABETH M. MELINDO
Affiant
SS ID with no. CRN. 0009-1372607-3
SUBSCRIBED AND SWORN TO BEFORE ME this 21st day of October, 2021 at


X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF UNDERTAKING
I, RANDALL S. CARPIO , of legal age, Filipino, married, and with residence and
postal address at Guiwan, Zamboanga City, after having been sworn to an oath in
That I am presently employed as Inspector assigned at the Bureau of Fire

Protection, Provincial Siay, Zamboanga Sibugay;
That I am a candidate for PROMOTION and one of the requirements is an

Ombudsman Clearance from the Office of the Ombudsman;
That I am still in the process of securing said clearance and could not submit it at
this time;
That I will undertake to submit the said Clearance immediately to the Bureau of
Fire Protection Head Office upon receipt of the said document;
That I will indemnify the Bureau of Fire Protection for whatever damage or liability
that may arise due to my non-compliance with this undertaking.
IN WITNESS WHEREOF, I have hereunto set my hand this 2nd day of December,
RANDALL S. CARPIO
Affiant


` Public Attorney III
X - - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, GRAYNEL V. AUSTRIA , 30 years old, single, Filipino, with postal address at

La Paz, Zamboanga City, under oath depose and say;
That I am a former employee of Southwest Asian Canning Corporation,

Talisayan, Zamboanga City;
That last July 24, 2022 I resigned from the said Company, hence I was issued a
CLEARANCE;
That the said CLEARANCE was lost/misplaced in my possession;
That effort were exerted to locate the said CLEARANCE but the same proved
IN WITNESS WHEREOF, we hereunto set our hand this 19 th day of September,

GRAYNEL V. AUSTRIA
Affiant
Company ID w/no.001565


Public Attorney I
X - - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
Re: TENANT IDENTIFICATION CARD
I, HONIE MAY L. SEBASTIAN , 27 years old, single, Filipino, with postal

address at Cabatangan, Zamboanga City, under oath depose and say;
That I am an employee of KOOMI located at KCC MALL de Zamboanga,

Zamboanga City;
That I was issued a TENANT ID by the said Establishment;
That the said TENANT ID was lost/misplaced in my possession;
That effort were exerted to locate the said TENANT ID but the same proved futile
IN WITNESS WHEREOF, I hereunto set my hand this 13 th day of January, 2023

HONIE MAY L. SEBASTIAN

Affiant
Pag-Ibig Loyalty Card :1211-7613-3886


Public Attorney I
X - - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
Re: POLICE CLEARANCE
I, DONNA JOY M. DURAN , 38 years old, single, Filipino, with postal address at
Pasonanca, Zamboanga City, under oath depose and say;
That I am an employee of OLYMPIO located at KCC MALL de Zamboanga,

Zamboanga City;
That I was issued a TENANT ID by the said Establishment;
That the said TENANT ID was lost/misplaced in my possession;
That effort were exerted to locate the said TENANT ID but the same proved futile

DONNA JOY M. DURAN

Affiant
PHIC ID w/no.14-205962944-6

ATTY. PIUS G, MORADOS

Public Attorney I
X - - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT
I, TITA O. TORRES , 50 years old, Filipino, with postal address at Ayala,

Zamboanga City, under oath depose and say;
That I am married with Five (5) children, all dependent on me;
That I am a Factory Worker at Century Pacific, Zamboanga City;
That since December 01, 2021 I was laid off from work due to stoppage of work
caused by the Pandemic;

TITA O. TORRES
Affiant
CTC w/no.CC12020-15852387


Public Attorney II
X - - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, JAMES MICHAEL P. CASEQUIN , 32 years old, married, Filipino and

presently residing at Tagasilay, Zamboanga City, under oath depose and say;
That I am a the biological father of JAMES NICHAEL AGUILA CASEQUIN, he

was born on October 21, 2020 at Ciudad Medical Zamboanga, Zamboanga City;
That was issued by the said hospital the original 4 copies duly accomplished
Certificate of Live Birth of my son;
That the said Certificate of Live Birth was lost/misplaced in my possession;
That effort were exerted to locate the said Certificate of Live Birth but the same

JAMES MICHAEL P. CASEQUIN

Affiant
AFP-Enlisted Personnel ID w/no.PN-EP17647


Public Attorney II
X - - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, DAUD, BEN-ALIH A. , 24 years old, single, Filipino and presently residing at

Zone IV, Zamboanga City, under oath depose and say;
That I am a the son of DAUD GARDAN AMANG, he passed away last October
08, 2022 at ZCMC, Zamboanga City;
That I was issued Three (3) Original copies duly accomplished Certificate of
Death by the said hospital;
That the said Certificate of Death was lost/misplaced in my possession;
That effort were exerted to locate the said Certificate of Death but the same

DAUD, BEN-ALIH A.
Affiant
PHIC ID w/no.14-025372323-4


Public Attorney I
X - - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, MAÑARA, FE BATION , 55 years old, widow, Filipino and presently residing at

R.T. Lim, Zamboanga Sibugay, under oath depose and say;
That I am the wife of ISAAC MAÑARA, Deceased;
That he is a member of PAFCPFIC; As such, he was issued a STOCK OF

CERTIFICATES;
That the said STOCK OF CERTIFICATES was lost/misplaced in his possession;
That effort were exerted to locate the said STOCK OF CERTIFICATES but the
same proved futile and in vain, hence, we considered it lost beyond recovery;
IN WITNESS WHEREOF, I have hereunto set my hand this 1 st day of December,

MAÑARA, FE BATION
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this 1st day of December, 2022


Public Attorney I
X - - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
I, ALBELDA, GRACE COLLADO , 43 years old, married, Filipino and presently

residing at Mercedes, Zamboanga City, under oath depose and say;
That last November 15, 2022, I had my Diagnostic Examination re: Blood,
Urinalysis and X-ray at the Mindanao Central Sanitarium, Pasobolong, Zamboanga City;
That only today I was able to get my LABORATORY RESULT issued by the said
Hospital;
That the said LABORATORY RESULT was lost/misplaced in my possession;
That effort were exerted to locate the said LABORATORY RESULT but the same
fact and specifically for the purpose of granting his request for issuance of a new one
IN WITNESS WHEREOF, we hereunto set our hand this 16th day of November,
ALBELDA, GRACE COLLADO

Affiant
SS UMID Card :0111-9675703-3

ATTY. ALYANNA MAE A.BARRE

Public Attorney I
X - - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF DELAY (REASONS OF LATE FILING)
I, SIMPAO, JESUS DELIGERO , 72 years old, married, Filipino and presently

residing at Recodo, Zamboanga City, under oath depose and say;
That I am a former Personnel of the Philippine Army, I entered the service

sometime 1972 and sometime 1985 I have been separated or I tendered my
resignation;
That it was only recently, that I was informed since I have served 13 years in the
AFP-PA I can still receive my separation pay, hence, this is the reason for my late filing
of my claim;

SIMPAO, JESUS DELIGERO

Affiant
PAVO ID w/no.A-17-7216


Public Attorney II
X - - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT
I, DEBBIE Q. TAN , 62 years old, single, Filipino and presently residing

atGuiwan, Zamboanga City, under oath depose and say;
That I am the daughter of PAQUINTO ALAWI TAN, who passed away last March
09, 2021 at Home-Guiwan, Zamboanga City;
That my parents are permanent residence of Sitangkai, Tawi-Tawi;
That, however, sometime December, 2020, we brought him here in Zamboanga

City for medical attention, since then we where in and out of the hospital until his death;
That in his Certificate of Death, specifically Item no. 10. RESIDENCE we

entered as “GUIWAN, Zamboanga City” because he was staying with us at the said
address during his check up/medical attention;
That my father is really a resident of Sitangkai, Tawi-Tawi;
DEBBIE Q. TAN
Affiant
Senior ID:03491


Public Attorney I
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOSS
Re: TAGGING NUMBER
I, ISNAIRA S. ALIUSMAN, 51 years old, separated in fact, Filipino, and presently

residing at Asinan, Zamboanga City, after having been sworn to in accordance with law,
That I am a holder of a HOUSE OWNER’S TAG CARD No. 5075 issued by the
Housing and Land Management Division, Zamboanga City;
That the said HOUSE OWNER’S TAG CARD was lost/misplaced in my

possession;
That effort were exerted to locate the said HOUSE OWNER’S TAG CARD but
ISNAIRA S. ALIUSMAN
Affiant
Brgy.ID w/no.2502-1007A


Public Attorney II

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Republic of the Philippines)

City of Zamboanga ) S.S.

I, HARIDJA M. MANDAG , 26 years old, single, Filipino and a resident of Putik,

That I am a holder of a PHILHEALTH ID issued by the PHIL. HEALTH

That the said PHILHEALTH ID was lost/ misplaced in my possession;

IN WITNESS WHEREOF, we hereunto set our hand this 10 th day of February,

SUBSCRIBED AND SWORN TO BEFORE ME this 10th day of February, 2023 at

ATTY. JOHN PHILIP Z. DELOTINA

I, JAAFAR K. JAMASALI , 32 years old, single, Filipino, and a resident and

That I am a PHILHEALTH Member;

That as such I have never received my PHILHEALTH ID up to this date;

IN WITNESS WHEREOF, we hereunto set our hand this 10 th day of February,

SUBSCRIBED AND SWORN TO BEFORE ME this 10th day of February, 2023

ATTY. JOHN PHILIP Z. DELOTINA

I, RICARDA, REALINO IGNACIO , 53 years old, single, Filipino, with postal

That I am the son of FELICIDAD IGNACIO RICARDA (89 years old), a

That he/she is a holder of a HEALTH CARD issued by the PHIL. HEALTH

That the said HEALTH CARD was lost/misplaced in his/her possession;

RICARDA, REALINO IGNACIO

SUBSCRIBED AND SWORN TO BEFORE ME this 10th day of February, 2023 at

ATTY. JOHN PHILIP Z. DELOTINA

That I am a holder of a NOTICE TO THE PUBLIC CERTIFICATE (TO OPERATE

That the said NOTICE TO THE PUBLIC CERTIFICATE was lost/misplaced in my

IN WITNESS WHEREOF, I have hereunto set my hand this 20 th day of May,

SUBSCRIBED AND SWORN TO BEFORE ME this 20th day of May, 2022 at

ATTY. JOHN PHILIP Z. DELOTINA

I, MARILYN G. POTOT , 39 years old, Filipino, single, and presently residing at

That I am a holder of a PHILHEALTH ID issued by the PHIL. HEALTH

That the said PHILHEALTH ID was lost/ misplaced in my possession;

SUBSCRIBED AND SWORN TO BEFORE ME this 28th day of April, 2022 at

ATTY. RUBY JOY E.ACIBAR-SAIDONA

Republic of the Philippines)

I, INDANAN, PEARL-AYSHA HABIBUL , 25 years old, single, Filipino and with

That I am a SSS Member;

That as such I have never received my SS ID up to this date;

IN WITNESS WHEREOF, we hereunto set our hand this 10 th day of February,

INDANAN, PEARL-AYSHA HABIBUL

SUBSCRIBED AND SWORN TO BEFORE ME this 10th day of February, 2023

ATTY. ANTONIO LEANDRRO C. DAGDAG

Republic of the Philippines)

I, MELY V. ENRIQUEZ , of legal age, Filipino, single and presently residing at

That I am the niece of MERCY T. VELEZ , a Philhealth Member;

That he/she is a holder of a HEALTH CARD issued by the PHIL. HEALTH

That the said HEALTH CARD was lost/misplaced in his/her possession;

IN WITNESS WHEREOF, I hereunto set my hand this 3 rd day of November, 2021

SUBSCRIBED AND SWORN TO BEFORE ME this 3rd day of November, 2021

ATTY. JOHN PHILIP Z. DELOTINA

That I am the Daughter of MENDELLIE B. FERNANDO, a Philhealth Member;

That he/she has never received his PHILHEALTH ID up to this date;

FERNANDO, RACHEL B.,

SUBSCRIBED AND SWORN TO BEFORE ME 6th day of January, 2023 at

ATTY. PHYLLISABELLE BETHANY W. GENERAL

Republic of the Philippines)

I, BONGCASAN, VANESSA LEE F. , 23 years old, Filipino, single, and with

That I am a holder of a HEALTH CARD (Green) issued by the CITY HEALTH

That the said HEALTH CARD was lost/misplaced in my possession;

BONGCASAN, VANESSA LEE F.

SUBSCRIBED AND SWORN TO BEFORE ME this 20th day of January, 2023 at

ATTY. ANTONIO LEANDRO C. DAGDAG

Republic of the Philippines )