REPUBLIC OF THE PHILIPPINES)

PROVINCE OF TARLAC ) S.S.

MUNICIPALITY OF PANIQUI )
x----------------------------x

AFFIDAVIT OF LOSS

I, EDIMAR GULILA MORMOLINDO, of legal age, Filipino and a resident at

Paniqui, Tarlac, after having been duly sworn to in accordance with law, depose and state
THAT:

1. I am a duly-licensed driver in accordance with pertinent Land Transportation laws,

rules and regulations and was issued a corresponding Professional Driver's License
with License No. L0389014345;

2. I regularly keep the said driver’s license in my wallet, among others;

3. Sometime on November 11, 2021, I discovered that said driver’s license was no
longer in my wallet;

4. Efforts were exerted to locate said driver's license, but in spite of diligent search, it
could not be found and the same is now beyond recovery;

5. The said Driver's License has not been confiscated by the LTO, Police or other
Traffic Enforcers for any traffic violation;

6. As such, I am executing this Affidavit of Loss to attest to the truth of the foregoing
and to support my application for the issuance of a new Professional Driver's
License, in lieu of the one that was lost;

IN WITNESS WHEREOF, I have hereunto set my hand this 12 nd day of November

2021 Paniqui, Tarlac, Philippines.

EDIMAR GULILA MORMOLINDO

Affiant
TIN: 720-396-311-000

SUBCRIBED AND SWORN TO before me this 12nd day of November 2021

Paniqui, Tarlac, Philippines.

Doc. No. _____; ATTY. JENY ANNE D. MADAMBA

Page No. _____; Notary Public until December 31, 2022
Book No. _____; Carriedo St., Paniqui, Tarlac 2307
Series of 2021. Roll No. 69184; May 31, 2017
PTR No. 0826876; January 04, 2021; Paniqui, Tarlac
IBP No. 017673; July 15, 2017; Tarlac Chapter
MCLE Compliance No. VI-0011044

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF TARLAC ) S.S.
MUNICIPALITY OF PANIQUI )
x----------------------------x
 AFFIDAVIT OF LOSS

I, JESSLER AGUHAR QUIAMBAO, of legal age, Filipino and a resident at Paniqui,

Tarlac, after having been duly sworn to in accordance with law, depose and state THAT:

7. I am a duly-licensed driver in accordance with pertinent Land Transportation laws,

rules and regulations and was issued a corresponding Professional Driver's License
with License No. __________________________;

8. I regularly keep the said driver’s license in my wallet, among others;

9. Sometime on October 25, 2021, I discovered that said driver’s license was no longer
in my wallet;

10. Efforts were exerted to locate said driver's license, but in spite of diligent search, it
could not be found and the same is now beyond recovery;

11. The said Driver's License has not been confiscated by the LTO, Police or other
Traffic Enforcers for any traffic violation;

12. As such, I am executing this Affidavit of Loss to attest to the truth of the foregoing
and to support my application for the issuance of a new Professional Driver's
License, in lieu of the one that was lost;

IN WITNESS WHEREOF, I have hereunto set my hand this 2 nd day of November 2021
Paniqui, Tarlac, Philippines.

JESSLER AGUHAR QUIAMBAO

Affiant
VIN: 5409-0206A-C0684JAQ10000-7

SUBCRIBED AND SWORN TO before me this 2nd day of November 2021

Paniqui, Tarlac, Philippines.

Doc. No. _____; ATTY. JENY ANNE D. MADAMBA

Page No. _____; Notary Public until December 31, 2022
Book No. _____; Carriedo St., Paniqui, Tarlac 2307
Series of 2021. Roll No. 69184; May 31, 2017
PTR No. 0826876; January 04, 2021; Paniqui, Tarlac
IBP No. 017673; July 15, 2017; Tarlac Chapter
MCLE Compliance No. VI-0011044

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF TARLAC ) S.S.
MUNICIPALITY OF PANIQUI )
x----------------------------x

AFFIDAVIT OF LOSS

I, INDIRA BACARRO BACALZO, of legal age, Filipino and a resident at

Salumague, Paniqui, Tarlac, after having been duly sworn to in accordance
with law, depose and state THAT:
 1. I am a duly-licensed driver in accordance with pertinent Land
Transportation laws, rules and regulations, and was issued a
corresponding Driver's License;

2. That I usually kept the above said Driver’s license inside my wallet;

3. That sometime on November 03, 2021, the said wallet which contains
the above said license was drop and got lost while riding in my
motorcycle on my way home at Brgy. Salumague, Paniqui, Tarlac;

4. Efforts were exerted to locate said driver's license, but in spite of

diligent search, it could not be found and the same is now beyond
recovery;

5. As such, I am executing this Affidavit of Loss to attest to the truth of

the foregoing and to support my application for the issuance of a new
Driver's License, in lieu of the one that was lost;

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

November 2021, Paniqui, Tarlac, Philippines.

INDIRA BACARRO BACALZO

Affiant
PRC: 0086066

SUBCRIBED AND SWORN TO before me this 3rd day of November 2021

Paniqui, Tarlac, Philippines.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2021.

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF TARLAC ) S.S.
MUNICIPALITY OF PANIQUI )
x----------------------------x

AFFIDAVIT OF LOSS
 I, DONNY NAZARENO MACARAEG, of legal age, Filipino and a resident
at Licor Poblacion Norte, Paniqui, Tarlac, after having been duly sworn to in
accordance with law, depose and state THAT:

13. I am a duly-licensed driver in accordance with pertinent Land

Transportation laws, rules and regulations and was issued a
corresponding Professional Driver's License with License;

14. I regularly keep the said driver’s license in my wallet, among others;

2. Sometime on May 5, 2019, I discovered that said driver’s license was

no longer in my wallet;

3. Efforts were exerted to locate said driver's license, but in spite of

diligent search, it could not be found and the same is now beyond
recovery;

4. Said Driver's License has not been confiscated by the LTO, Police or
other Traffic Enforcers for any traffic violation;

5. As such, I am executing this Affidavit of Loss to attest to the truth of

the foregoing and to support my application for the issuance of a new
Professional Driver's License, in lieu of the one that was lost;

IN WITNESS WHEREOF, I have hereunto set my hand this 30 th day of

May 2019 Paniqui, Tarlac, Philippines.

DONNY NAZARENO MACARAEG

Affiant
TIN No.: 227-790-969-000

SUBCRIBED AND SWORN TO before me this 30th day of May 2019

Paniqui, Tarlac, Philippines.

Doc. No. _____;

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

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF TARLAC ) S.S.
MUNICIPALITY OF PANIQUI )
x----------------------------x

AFFIDAVIT OF LOSS
 I, JONATHAN L. GRAGASIN, of legal age, Filipino, single and a resident at
Paniqui, Tarlac, after having been duly sworn to in accordance with law, depose and
state THAT:

1. That I am a duly-licensed driver in accordance with pertinent Land

Transportation laws, rules and regulations and was issued a
corresponding Professional Driver's License with License NO.:
________________________;

2. That I regularly keep the said driver’s license in my wallet, among others;

3. That sometime on August 2019, I discovered that said driver’s license

was no longer in my wallet;

4. That efforts were exerted to locate said driver's license, but in spite of
diligent search, it could not be found and the same is now beyond
recovery;

5. That the said Driver's License has not been confiscated by the LTO, Police
or other Traffic Enforcers for any traffic violation;

6. That as such, I am executing this Affidavit of Loss to attest to the truth of

the foregoing and to support my application for the issuance of a new
Professional Driver's License, in lieu of the one that was lost;

IN WITNESS WHEREOF, I have hereunto set my hand this 03 rd day of

September 2019 Paniqui, Tarlac, Philippines.

JONATHAN L. GRAGASIN
Affiant

SUBCRIBED AND SWORN TO before me this 3rd day of September 2019

Paniqui, Tarlac, Philippines.

Doc. No. _____;

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

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF TARLAC ) S.S.
MUNICIPALITY OF PANIQUI )
x----------------------------x
 AFFIDAVIT OF LOSS

I, ALMYRR NARADA VALDEZ, of legal age, Filipino and a resident at

Coral, Paniqui, Tarlac, after having been duly sworn to in accordance with law,
depose and state THAT:

1. I am a duly-licensed driver in accordance with pertinent Land

Transportation laws, rules and regulations and was issued a
corresponding Non-Professional Driver's License;

2. I regularly keep the said driver’s license inside my wallet, among

others;

3. Sometime on July 2021, I lost/dropped the said wallet which

contains the above mentioned driver’s license, while riding my
motorcycle on my way home at Coral, Paniqui, Tarlac;

4. Efforts were exerted to locate said driver's license, but in spite of

diligent search, it could not be found and the same is now beyond
recovery;

5. Said Driver's License has not been confiscated by the LTO, Police
or other Traffic Enforcers for any traffic violation;

6. As such, I am executing this Affidavit of Loss to attest to the truth

of the foregoing and to support my application for the issuance of
a new Professional Driver's License, in lieu of the one that was
lost;

IN WITNESS WHEREOF, I have hereunto set my hand this 24 th day of

August 2021 Paniqui, Tarlac, Philippines.

ALMYRR NARADA VALDEZ

Affiant
Passport: P5888031B

SUBCRIBED AND SWORN TO before me this 24th day of August 2021 at

Paniqui, Tarlac, Philippines.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2021.

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF TARLAC ) S.S.
MUNICIPALITY OF PANIQUI )
x----------------------------x

AFFIDAVIT OF LOSS

I, EDMUND MORANTE ALFERO, of legal age, Filipino, married and a

resident at Nancamarinan, Tarlac, after having been duly sworn to in accordance
with law, depose and state THAT:

1. I am a duly-licensed driver in accordance with pertinent Land

Transportation laws, rules and regulations and was issued a
corresponding Professional Driver's License;

2. I regularly keep the said driver’s license in my wallet, among others;

3. Sometime on September 14, 2019, I discovered that said driver’s

license was no longer in my wallet;

4. Efforts were exerted to locate said driver's license, but in spite of

diligent search, it could not be found and the same is now beyond
recovery;

5. Said Driver's License has not been confiscated by the LTO, Police or
other Traffic Enforcers for any traffic violation;

6. As such, I am executing this Affidavit of Loss to attest to the truth of

the foregoing and to support my application for the issuance of a
new Professional Driver's License, in lieu of the one that was lost;

IN WITNESS WHEREOF, I have hereunto set my hand this 17 th day of

September 2019 Paniqui, Tarlac, Philippines.

EDMUND MORANTE ALFERO

Affiant
Passport: P6732345A

SUBCRIBED AND SWORN TO before me this 17th day of September

2019 Paniqui, Tarlac, Philippines.

Doc. No. _____;

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

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF TARLAC ) S.S.
MUNICIPALITY OF PANIQUI )
x----------------------------x
 AFFIDAVIT OF LOSS

I, MARLON BAUTISTA GALULAC, of legal age, Filipino, single and a

resident at Paniqui, Tarlac, after having been duly sworn to in accordance with
law, depose and state THAT:

1. I am a duly-licensed driver in accordance with pertinent Land

Transportation laws, rules and regulations and was issued a
corresponding Professional Driver's License;

2. I regularly keep the said driver’s license in my wallet, among others;

3. Sometime on September 29, 2019, I discovered that said driver’s

license was no longer in my wallet;

4. Efforts were exerted to locate said driver's license, but in spite of

diligent search, it could not be found and the same is now beyond
recovery;

5. Said Driver's License has not been confiscated by the LTO, Police or
other Traffic Enforcers for any traffic violation;

6. As such, I am executing this Affidavit of Loss to attest to the truth of

the foregoing and to support my application for the issuance of a
new Professional Driver's License, in lieu of the one that was lost;

IN WITNESS WHEREOF, I have hereunto set my hand this 30 th day of

September 2019 Paniqui, Tarlac, Philippines.

MARLON BAUTISTA GALULAC

Affiant
TIN: 457-543-235-000

SUBCRIBED AND SWORN TO before me this 30th day of September

2019 Paniqui, Tarlac, Philippines.

Doc. No. _____;

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

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF TARLAC ) S.S.
MUNICIPALITY OF PANIQUI )
x----------------------------x
 AFFIDAVIT OF LOSS

I, RAYMOND BUMANLAG STA. MARIA, of legal age, Filipino,

married and a resident at Purok 1, Matalapitap, Paniqui Tarlac, after having been
duly sworn to in accordance with law, depose and state THAT:

1. I am a duly-licensed driver in accordance with pertinent Land

Transportation laws, rules and regulations and was issued a
corresponding Non-Professional Driver's License;

2. I regularly keep the said driver’s license in my wallet among others;

3. Sometime on October 2019, I discovered that said driver’s license

was no longer in my wallet;

4. Efforts were exerted to locate said driver's license, but in spite of

diligent search, it could not be found and the same is now beyond
recovery;

5. Said Driver's License has not been confiscated by the LTO, Police or
other Traffic Enforcers for any traffic violation;

6. As such, I am executing this Affidavit of Loss to attest to the truth of

the foregoing and to support my application for the issuance of a
new Professional Driver's License, in lieu of the one that was lost;

IN WITNESS WHEREOF, I have hereunto set my hand this 28 th day of

November 2019 Paniqui, Tarlac, Philippines.

RAYMOND BUMANLAG STA. MARIA

Affiant

SUBCRIBED AND SWORN TO before me this 28th day of November

2019 Paniqui, Tarlac, Philippines, affiant exhibited to me his TIN I.D. with
number 346-795-901-000.

Doc. No. _____;

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

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF TARLAC ) S.S.
MUNICIPALITY OF PANIQUI )
x----------------------------x
 AFFIDAVIT OF LOSS

I, JOHNNY J. LICTAOA JR., of legal age, Filipino and a resident at

Calasiao, Pangasinan, after having been duly sworn to in accordance with law,
depose and state THAT:

1. I am a duly-licensed driver in accordance with pertinent Land

Transportation laws, rules and regulations, and was issued a
corresponding Professional Driver's License with License No. A12-08-
000766 which is valid until August 24, 2024;

2. Sometime on September 12, 2019 the said driver's license was been
confiscated by the LTO Officer;

3. On September 12, 2019 at around 3:30pm, when I was about to claim

the said Driver’s License, it was unintentionally misplaced/lost by the
LTO Officer;

4. Efforts were exerted to locate said driver's license, but in spite of

diligent search, it could not be found and the same is now beyond
recovery;

5. As such, I am executing this Affidavit of Loss to attest to the truth of

the foregoing and to support my application for the issuance of a new
Professional Driver's License, in lieu of the one that was lost;

IN WITNESS WHEREOF, I have hereunto set my hand this 13 th day of

September 2019 Paniqui, Tarlac, Philippines.

JOHNNY J. LICTAOA JR.

Affiant

SUBCRIBED AND SWORN TO before me this 13th day of September 2019

Paniqui, Tarlac, Philippines.

Doc. No. _____;

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

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF TARLAC ) S.S.
MUNICIPALITY OF PANIQUI )
x----------------------------x
 AFFIDAVIT OF LOSS

I, JULIUS M. LAYNO, of legal age, Filipino, married and a resident at

Purok Macapagal, Rang-ayan, Paniqui, Tarlac, after having been duly sworn to
in accordance with law, depose and state THAT:

1. I am a duly-licensed driver in accordance with pertinent Land

Transportation laws, rules and regulations and was issued a
corresponding Professional Driver's License;

2. I regularly keep the said driver’s license in my wallet, among others;

3. Sometime on November 08, 2019 I discovered that said driver’s

license was no longer in my wallet;

4. Efforts were exerted to locate said driver's license, but in spite of

diligent search, it could not be found and the same is now beyond
recovery;

5. Said Driver's License has not been confiscated by the LTO, Police or
other Traffic Enforcers for any traffic violation;

6. As such, I am executing this Affidavit of Loss to attest to the truth of

the foregoing and to support my application for the issuance of a
new Professional Driver's License, in lieu of the one that was lost;

IN WITNESS WHEREOF, I have hereunto set my hand this 11 th day of

November 2019 Paniqui, Tarlac, Philippines.

JULIUS M. LAYNO
Affiant

SUBCRIBED AND SWORN TO before me this 11th day of November

2019 Paniqui, Tarlac, Philippines.

Doc. No. _____;

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

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF TARLAC ) S.S.
MUNICIPALITY OF PANIQUI )
x----------------------------x
 AFFIDAVIT OF LOSS

I, JOHNNY J. LICTAOA JR., of legal age, Filipino and a resident at

Calasiao, Pangasinan, after having been duly sworn to in accordance with law,
depose and state THAT:

1. I am a duly-licensed driver in accordance with pertinent Land

Transportation laws, rules and regulations, and was issued a
corresponding Professional Driver's License with License No. A12-08-
000766 which is valid until August 24, 2024;

2. Sometime on September 12, 2019 the said driver's license was been
confiscated by the LTO Officer;

3. On September 12, 2019 at around 3:30pm, when I was about to claim

the said Driver’s License, it was unintentionally misplaced/lost by the
LTO Officer;

4. Efforts were exerted to locate said driver's license, but in spite of

diligent search, it could not be found and the same is now beyond
recovery;

5. As such, I am executing this Affidavit of Loss to attest to the truth of

the foregoing and to support my application for the issuance of a new
Professional Driver's License, in lieu of the one that was lost;

IN WITNESS WHEREOF, I have hereunto set my hand this 13 th day of

September 2019 Paniqui, Tarlac, Philippines.

JOHNNY J. LICTAOA JR.

Affiant

SUBCRIBED AND SWORN TO before me this 13th day of September 2019

Paniqui, Tarlac, Philippines.

Doc. No. _____;

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

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF TARLAC ) S.S.
MUNICIPALITY OF PANIQUI )
x----------------------------x
 AFFIDAVIT OF LOSS

I, LESLIE L. ACOSTA, of legal age, Filipino, married and a resident at

Brgy. Toledo, Ramos Tarlac after having been duly sworn to in accordance with
law, depose and state THAT:

1. I am a duly-licensed driver in accordance with pertinent Land

Transportation laws, rules and regulations, and was issued a
corresponding Non-Professional Driver's License;

2. I regularly keep the said driver’s license in my wallet, among others;

3. Sometime on December, 2019, while driving along Paniqui Town

Proper, Paniqui Tarlac I dropped my wallet which contains the above
said license;

4. Efforts were exerted to locate said driver's license, but in spite of

diligent search, it could not be found and the same is now beyond
recovery;

5. Said Driver's License has not been confiscated by the LTO, Police or
other Traffic Enforcers for any traffic violation;

6. As such, I am executing this Affidavit of Loss to attest to the truth of

the foregoing and to support my application for the issuance of a new
Professional Driver's License, in lieu of the one that was lost;

IN WITNESS WHEREOF, I have hereunto set my hand this 08 th day of

January 2020 Paniqui, Tarlac, Philippines.

LESLIE L. ACOSTA
Affiant

SUBCRIBED AND SWORN TO before me this 08th day of January 2020

Paniqui, Tarlac, Philippines, affiant exhibited to me her Pag-ibig loyalty card
with number 1400-0120-9752.
Doc. No.__________;
Page No.__________; ATTY. JENY ANNE D. MADAMBA
Notary Public until December 31, 2020
Book No.__________; Carriedo St. Paniqui, Tarlac 2307
Series of 2020. Roll No. 69184/May 31, 2017
PTR No. 0114859; January 02, 2020; Paniqui, Tarlac
IBP No. 017673; July 15, 2017; Tarlac Chapter
MCLE Compliance No. VI-0011044

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF TARLAC ) S.S.
MUNICIPALITY OF PANIQUI )
x----------------------------x
 AFFIDAVIT OF LOSS

I, ALFREDO ABRIL ESTRADA, of legal age, Filipino and a resident of

Abogado, Paniqui, Tarlac, after having been duly sworn to in accordance with
law, depose and state:

1. That I am a duly-licensed driver in accordance with pertinent Land

Transportation laws, rules and regulations, and was issued a
corresponding Professional Driver's License;

2. That I regularly keep the said driver’s license in my wallet, among

others;

3. That sometime on February 09, 2020, while driving along Paniqui

Public Market, Paniqui, Tarlac, I dropped/lost the said driver’s
license;

4. That for all legal intents and purposes the said Identification Card is
now considered lost and beyond recovery;

5. That said Driver's License has not been confiscated by the LTO, Police
or other Traffic Enforcers for any traffic violation;

6. As such, I am executing this Affidavit of Loss to attest to the truth of

the foregoing and to support my application for the issuance of a new
Professional Driver's License, in lieu of the one that was lost;

IN WITNESS WHEREOF, I have hereunto set my hand this 10 th of

February 2020 Paniqui, Tarlac, Philippines.

ALFREDO ABRIL ESTRADA

Affiant

SUBCRIBED AND SWORN TO before me this 10th of February 2020, in

Paniqui, Tarlac, Philippines affiant exhibited to me his UMID I.D. with number
CRN-0111-0349477-4.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2020.

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF TARLAC ) S.S.
MUNICIPALITY OF PANIQUI )
x----------------------------x

AFFIDAVIT OF LOSS

I, CONRADO NARCISO NATIVIDAD, of legal age, Filipino, married and

a resident of Nancamarinan, Paniqui, Tarlac, after having been duly sworn to
in accordance with law, depose and state:

1. That I am a duly-licensed driver in accordance with pertinent Land

Transportation laws, rules and regulations, and was issued a
corresponding Professional Driver's License;

2. That I am a holder of Solid North company Identification Card;

3. That I regularly keep the said driver’s license and Solid North
company Identification Card in my wallet, among others;

4. That sometime on March 15, 2020, while I was driving along

Paniqui Tarlac, I dropped/lost the said driver’s license and Solid
North company Identification Card;

5. That for all legal intents and purposes the said Identification
Cards is now considered lost and beyond recovery;

6. That said Driver's License has not been confiscated by the LTO,
Police or other Traffic Enforcers for any traffic violation;

7. As such, I am executing this Affidavit of Loss to attest to the truth

of the foregoing and to support my application for the issuance of
a new Professional Driver's License, in lieu of the one that was
lost;

IN WITNESS WHEREOF, I have hereunto set my hand this 16 th of March

2020 Paniqui, Tarlac, Philippines.

CONRADO NARCISO NATIVIDAD

Affiant

SUBCRIBED AND SWORN TO before me this 16th of March 2020, in

Paniqui, Tarlac, Philippines.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2020.

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF TARLAC ) S.S.
MUNICIPALITY OF PANIQUI )
x----------------------------x

AFFIDAVIT OF LOSS

I, RONIE PAZ APOLONIO, of legal age, Filipino, single and a resident at

Rizal, Moncada, Tarlac after having been duly sworn to in accordance with law,
depose and state THAT:

1. I am a duly-licensed driver in accordance with pertinent Land

Transportation laws, rules and regulations, and was issued a
corresponding Professional Driver's License;

2. I regularly keep the said driver’s license in my wallet, among others;

3. Sometime on March 17, 2020 at around 10:00 in the morning, while

driving along Moncada Town Proper, Moncada, Tarlac I dropped my
wallet which contains the above said license;

4. Efforts were exerted to locate said driver's license, but in spite of

diligent search, it could not be found and the same is now beyond
recovery;

5. Said Driver's License has not been confiscated by the LTO, Police or
other Traffic Enforcers for any traffic violation;

6. As such, I am executing this Affidavit of Loss to attest to the truth of

the foregoing and to support my application for the issuance of a new
Professional Driver's License, in lieu of the one that was lost;

IN WITNESS WHEREOF, I have hereunto set my hand this 17 th day of

March 2020 Paniqui, Tarlac, Philippines.

RONIE PAZ APOLONIO

Affiant

SUBCRIBED AND SWORN TO before me this 17th day of March 2020

Paniqui, Tarlac, Philippines.

Doc. No. 227;

Page No. 46; ATTY. JENY ANNE D. MADAMBA
Notary Public until December 31, 2020
Book No. 07; Carriedo St. Paniqui, Tarlac 2307
Series of 2020. Roll No. 69184/May 31, 2017
PTR No. 0114859; January 02, 2020; Paniqui, Tarlac
IBP No. 017673; July 15, 2017; Tarlac Chapter
MCLE Compliance No. VI-0011044

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF TARLAC ) S.S.
MUNICIPALITY OF PANIQUI )
x----------------------------x

AFFIDAVIT OF LOSS

I, CEASAR IAN PANGALANGAN IBARRA, of legal age, Filipino and a

resident at 0233 Baltazar Subd., Paniqui, Tarlac, after having been duly sworn
to in accordance with law, depose and state THAT:

1. I am a duly-licensed driver in accordance with pertinent Land

Transportation laws, rules and regulations and was issued a
corresponding Professional Driver's License with License No. C11-99-
119614;

2. I regularly keep the said driver’s license in my wallet, among others;

3. Sometime on May 24, 2020, I discovered that said driver’s license was
no longer in my wallet;

4. Efforts were exerted to locate said driver's license, but in spite of

diligent search, it could not be found and the same is now beyond
recovery;

5. Said Driver's License has not been confiscated by the LTO, Police or
other Traffic Enforcers for any traffic violation;

6. As such, I am executing this Affidavit of Loss to attest to the truth of

the foregoing and to support my application for the issuance of a new
Professional Driver's License, in lieu of the one that was lost;

IN WITNESS WHEREOF, I have hereunto set my hand this 26 th day of

May 2020 Paniqui, Tarlac, Philippines.

CEASAR IAN PANGALANGAN IBARRA

Affiant

SUBCRIBED AND SWORN TO before me this 26th day of May 2020

Paniqui, Tarlac, Philippines.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2020.
REPUBLIC OF THE PHILIPPINES)
PROVINCE OF TARLAC ) S.S.
MUNICIPALITY OF PANIQUI )
x----------------------------x

AFFIDAVIT OF LOSS

I, FRANCISCO RAGUINDIN PERALTA JR., of legal age, Filipino and a

resident at Paniqui, Tarlac, after having been duly sworn to in accordance with
law, depose and state THAT:

1. I am a duly-licensed driver in accordance with pertinent Land

Transportation laws, rules and regulations and was issued a
corresponding Professional Driver's License with License No. N26-13-
013542;

2. I regularly keep the said driver’s license in my wallet, among others;

3. Sometime on May 22, 2020, I discovered that said driver’s license was
no longer in my wallet;

4. Efforts were exerted to locate said driver's license, but in spite of

diligent search, it could not be found and the same is now beyond
recovery;

5. Said Driver's License has not been confiscated by the LTO, Police or
other Traffic Enforcers for any traffic violation;

6. As such, I am executing this Affidavit of Loss to attest to the truth of

the foregoing and to support my application for the issuance of a new
Professional Driver's License, in lieu of the one that was lost;

IN WITNESS WHEREOF, I have hereunto set my hand this 1 st day of

June 2020 Paniqui, Tarlac, Philippines.

FRANCISCO RAGUINDIN PERALTA JR.

Affiant
PhilHealth: 02-050709255-2

SUBCRIBED AND SWORN TO before me this 1st day of June 2020

Paniqui, Tarlac, Philippines.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2020.
REPUBLIC OF THE PHILIPPINES)
PROVINCE OF TARLAC ) S.S.
MUNICIPALITY OF PANIQUI )
x----------------------------x

AFFIDAVIT OF LOSS

I, WALMARK L. SUNIGA, of legal age, Filipino and a resident at Paniqui,

Tarlac, after having been duly sworn to in accordance with law, depose and
state THAT:

1. I am a duly-licensed driver in accordance with pertinent Land

Transportation laws, rules and regulations and was issued a
corresponding Non-Professional Driver's License with License No.
N25-12-004075;

2. I regularly keep the said driver’s license in my wallet, among others;

3. Sometime on March, 2020, I discovered that said driver’s license was

no longer in my wallet;

4. Efforts were exerted to locate said driver's license, but in spite of

diligent search, it could not be found and the same is now beyond
recovery;

5. Said Driver's License has not been confiscated by the LTO, Police or
other Traffic Enforcers for any traffic violation;

6. As such, I am executing this Affidavit of Loss to attest to the truth of

the foregoing and to support my application for the issuance of a new
Professional Driver's License, in lieu of the one that was lost;

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

June 2020 Paniqui, Tarlac, Philippines.

WALMARK L. SUNIGA
Affiant

SUBCRIBED AND SWORN TO before me this 9th day of June 2020

Paniqui, Tarlac, Philippines.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2020.
REPUBLIC OF THE PHILIPPINES)
PROVINCE OF TARLAC ) S.S.
MUNICIPALITY OF PANIQUI )
x----------------------------x

AFFIDAVIT OF LOSS

I, SATURNINO LEONARDO DELUPIO JR., of legal age, Filipino, married

and a resident at 6109 Delupio St. Hen T. De Leon, Valenzuela City, after
having been duly sworn to in accordance with law, depose and state THAT:

1. I am a duly-licensed driver in accordance with pertinent Land

Transportation laws, rules and regulations and was issued a
corresponding Non-Professional Driver's License with License No.
N25-12-004075;

2. I regularly keep the said driver’s license inside my wallet, among

others;

3. Sometime on May 2020, while I was in the Paniqui Public Market at

Paniqui, Tarlac, I lost my wallet which contains the said driver’s
license;

4. Efforts were exerted to locate said wallet, but in spite of diligent

search, it could not be found and the same is now beyond recovery;

5. Said Driver's License has not been confiscated by the LTO, Police or
other Traffic Enforcers for any traffic violation;

6. As such, I am executing this Affidavit of Loss to attest to the truth of

the foregoing and to support my application for the issuance of a new
Non-Professional Driver's License, in lieu of the one that was lost;

IN WITNESS WHEREOF, I have hereunto set my hand this 10 th day of

June 2020 Paniqui, Tarlac, Philippines.

SATURNINO LEONARDO DELUPIO JR.

Affiant

PRC: 0175540

SUBCRIBED AND SWORN TO before me this 10th day of June 2020

Paniqui, Tarlac, Philippines.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2020.

REPUBLIC OF THE PHILIPPINES)

PROVINCE OF TARLAC ) S.S.
MUNICIPALITY OF PANIQUI )
x----------------------------x

AFFIDAVIT OF LOSS

I, ALMERA B. VILET, of legal age, Filipino, single and a resident at

Nancamarinan, Paniqui, Tarlac after having been duly sworn to in accordance
with law, depose and state THAT:

1. I am a duly-licensed driver in accordance with pertinent Land

Transportation laws, rules and regulations and was issued a
corresponding Non-Professional Driver's License with License No.
______________________;

2. I regularly keep the said driver’s license inside my wallet, among

others;

3. Sometime on March 2020, while I was in the Paniqui Public Market at

Paniqui, Tarlac, I lost my wallet which contapins the said driver’s
license;

4. Efforts were exerted to locate said wallet, but in spite of diligent

search, it could not be found and the same is now beyond recovery;

5. Said Driver's License has not been confiscated by the LTO, Police or
other Traffic Enforcers for any traffic violation;

6. As such, I am executing this Affidavit of Loss to attest to the truth of

the foregoing and to support my application for the issuance of a new
Non-Professional Driver's License, in lieu of the one that was lost;

IN WITNESS WHEREOF, I have hereunto set my hand this 25 th day of

June 2020 Paniqui, Tarlac, Philippines.

ALMERA B. VILET
Affiant

SUBCRIBED AND SWORN TO before me this 25th day of June

2020 Paniqui, Tarlac, Philippines.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2020.
REPUBLIC OF THE PHILIPPINES)
PROVINCE OF TARLAC ) S.S.
MUNICIPALITY OF PANIQUI )
x----------------------------x

AFFIDAVIT OF LOSS

I, JOHN CARLO JUAN, of legal age, Filipino, single and a resident at

Ventinilla, Paniqui, Tarlac after having been duly sworn to in accordance with
law, depose and state THAT:

1. I am a duly-licensed driver in accordance with pertinent Land

Transportation laws, rules and regulations and was issued a
corresponding Professional Driver's License with License No.
______________________;

2. I regularly keep the said driver’s license inside the case of my

cellphone, among others;

3. Sometime on December 30, 2021, while I was eating in a carinderia in

Burgos Street Paniqui, Tarlac, I lost my cellphone which contains the
said driver’s license;

4. Efforts were exerted to locate said wallet, but in spite of diligent

search, it could not be found and the same is now beyond recovery;

5. Said Driver's License has not been confiscated by the LTO, Police or
other Traffic Enforcers for any traffic violation;

6. As such, I am executing this Affidavit of Loss to attest to the truth of

the foregoing and to support my application for the issuance of a new
Non-Professional Driver's License, in lieu of the one that was lost;

IN WITNESS WHEREOF, I have hereunto set my hand this 4th day of

January 2022 Paniqui, Tarlac, Philippines.

JOHN CARLO JUAN

Affiant

SUBCRIBED AND SWORN TO before me this 4th day of January

2022 Paniqui, Tarlac, Philippines.

Doc. No. _____; ATTY. JENY ANNE D. MADAMBA

Page No. _____; Notary Public until December 31, 2022
Book No. _____; Carriedo St., Paniqui, Tarlac 2307
Roll No. 69184; May 31, 2017
Series of 2022. PTR No. 5428719; January 03, 2021; Province of Tarlac
IBP No. 017673; July 15, 2017; Tarlac Chapter
MCLE Compliance No. VI-0011044