You are on page 1of 2

REPUBLIC of the PHILIPPINES )

CITY of BAGUIO ) S.S.

AFFIDAVIT of LOSS

I, VENUS G. GARCIA, Filipino, of legal age, married, and a resident of 628


Magnolia Street, QM Subdivision, Baguio City, Philippines, after having been duly
sworn to in accordance with law, hereby depose and state that:

1) As an employee of PLDT Inc., I was issued a Call-of-Business Landline


Plus SIM with number 423-1560;

2) Last 04 March 2018, as I was enjoying the festivities of Panagbenga with


my family along Harrison Road, I failed to notice that the phone containing the
aforementioned SIM card was no longer amongst my possessions;

3) It is possible that I was pickpocketed or the said phone and SIM fell out of
my pocket, resulting in their loss or misplacement;

4) Diligent effort to locate and search in places where the said phone and SIM
might be were exerted but the same were nowhere to be found;

5) I am executing this affidavit to attest to the truth of the foregoing facts and
request for a replacement of the SIM card and possible retention of the number
mentioned above.

IN WITNESS WHEREOF, I have hereunto set my hand this 9 th day of March


2018 in the City of Baguio, Philippines.

VENUS G. GARCIA
Affiant

SUBSCRIBED and SWORN to BEFORE ME, this 9th day of March 2018.
Affiant personally came and appeared with her PLDT Company ID No. 508318, bearing
her photograph and signature, known to me as the same person who personally signed the
foregoing instrument before me and avowed under penalty of law to the whole truth of
the contents of said instrument.

Doc. No. ;
Page No. ;
Book No. ;
Series of 2018.

You might also like