Professional Documents
Culture Documents
I, JUAN DELA CRUZ, of legal age, married, Filipino citizen and a resident of Balili, La
Trinidad, Benguet, Philippines, after having been duly sworn to in accordance with law hereby
depose and state that:
3. Despite, diligent efforts made to locate my atm card jacket/holder, containing my ATM
Card I consider it loss and beyond the point of recovery because I might have
MISPLACE my ATM jacket/holder containing the above said card;