Republic of the Philippines

Province of Ilocos Norte

Laoag City

AFFIDAVIT OF LOSS

I, KONRAD R. TURDA , Filipino, of legal age, single, and with residence at Brgy., No. 8, San
Vicente (Pob.), Laoag City (Capital). Ilocos Norte, Philippines, after being duly sworn to in
accordance with law, hereby depose and state:
That I am a duly-licensed driver in accordance with pertinent Land Transportation laws,
rules and regulations, and was issued a corresponding Driver's License with number A03-22-
000473 which is valid until OCTOBER 10, 2026;
That sometime last week, said Driver's License was misplaced and got lost.
That despite diligent search and efforts to locate my Driver's License, I could not find the
same such that I now believe that it is now lost beyond recovery;
That said Driver's License has not been confiscated by the LTO, Police or other Traffic
Enforcers for any traffic violation.
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 May 17, 2022 at Laoag City,
Philippines.

KONRAD R. TURDA
Affiant

SUBCRIBED AND SWORN TO before me this May 16, 2022 in Laoag City, Philippines, affiant
exhibiting to me his/her competent evidence of identity by way of PRC License No. 1644626
issued at PRC Ilocos Norte on May 18, 2018.

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