You are on page 1of 1

REPUBLIC OF THE PHILIPPINES )

MAKATI CITY ) S.S.


x---------------------------------------------x

AFFIDAVIT OF LOSS

I, SEON HO, Filipino, of legal age, married, and a resident of Makati City, after being duly sworn to
in accordance with law, hereby depose and state:

1. That, I am a holder of a driver’s license;

2. That, my driver’s license which I safely kept and which was always in my possession was lost;

3. That, despite due and diligent search and efforts made, the said driver’s license could no longer be
located;

4. That, as such, I now believe that my driver’s license is lost beyond recovery; and

5. That, as such, I am executing this Affidavit of Loss in order to attest to the truth of the foregoing,
and for whatever purposes this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 26 January 2022 at Makati City,
Philippines.

SEON HO
Affiant

SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and for Makati City this 26 January 2022.
Affiant personally came and appeared with competent evidence of identity as above indicated bearing his 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.

You might also like