Republic of the Philippines
DONE: CITY OF BAGUIO
)
) SS.
AFFIDAVIT OF LOSS
I, CHOI SEULKI, of legal age, single, Korean National, with residence
and postal address at 6P Guevara St., Aurora Hill, Baguio City, after having
been duly sworn to in accordance with law do hereby depose and state that:
1 I am an owner of a CELLULAR PHONE, particularly iPHONE5S;
2 On February 15, 2015 my Phone (iPhone5S) was taken by
unidentified person while walking along Session Road going up to
SM;
3 I exerted diligent efforts to locate the said person to recover my
pone but the same could no longer be found, hence, considered
forever lost;
4 The said phone has not been given nor pledged to anyone for any
purpose whatsoever, nor was it taken or confiscated by the
authorities for any violation of any law or traffic law or regulations;
5 I am executing this affidavit to attest to the truth of my foregoing
statements and to state the fact that my phone (iPhone5s) was
taken by unidentified person and for all legal intents and purposes it
may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this 16 th day of
February, 2015, at Baguio City, Philippines.
CHOI SEULKI
Affiant
KOREAN PASSPORT No. M37868937
Issued On: Nov. 12, 2014
Valid Until: Nov. 12, 2024
SUBSCRIBED AND SWORN TO before me this 16th day of February,
2015, at Baguio City, Philippines. Affiant personally appeared before me and
to be the same person who executed this instrument.
MODESTO T. ANDONG
Notary Public
Commission No. 30-NC-14-R/Until: December 31, 2015
PTR No. 2010843/1-05-15/Baguio City
IBP No. 0980515/1-05-15/Baguio-Benguet Chapter
Roll No. 31289/5-15-81/Manila
MCLE COMPLIANCE No. V-0002709/July 3, 2014
Community Tax Certificate Number 15051806
Issued On: January 5, 2015
Issued At: Baguio City
No. 13-B, 2nd Floor Old Market Bldg.,
Magsaysay Ave., Baguio City, Philippines
Doc. No. 193;
Page No.39;
Book No.11;
Series of 2015.