REPUBLIC OF THE PHILIPINES

CITY OF DAVAO.. ) S.S

PROVINCE OF DAVAO DEL SUR

AFFIDAVIT OF LOSS

I, JOHN PAUL M. TUPAS, OF LEGAL AGE WITH RESIDENTIAL ADDRESS LOCATED AT 87903 MABINI – BLVD.,

BRGY. 31-D, DO HEREBY SAY THAT;

1.) THAT I AM APPLYING FOR A JOB AND I CANNOT RECOVER MY DOCUMENTS/ FILE BECAUSE IT

WAS LOST WHILE I AM RIDING IN A TAXI CAB.

2.) THAT I AM EXECUTING THIS AFFIDAVIT OF LOSS TO APPRAISE THE PROPER AUTHORITIES

CONCERNED ON THE VERACITY OF THE FOREGOING FACTS.

IN WITNESS WHEREOF, I HEREUNTO AFFIXED MY SIGNATURE ON THIS 23RD DAY OF DECEMBER 2019, AT

DAVAO CITY PHILIPPINES.

JOHN PAUL M. TUPAS

AFFIANT

SUBSCRIBE AND SWORN TO THIS ______ DAY OF DECEMBER, 2019.

Doc. No. __________;

Page No. __________;
Book No. __________;
Series of 2019.