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AFFIDAVIT OF LOSS

REPUBLIC OF THE PHILIPPINES ) s.s


________________________________)

I, Malakas Makisig, of legal age, married, with residence and


postal address at ________________, after being sworn in
accordance with law, hereby depose and state that:

1. I was the holder and bona fide owner of the Talk ‘N Text
sim card with corresponding number XXXXXXXX

2. On April 11, 2023, while I was in the comfort room about


to take a bath with my phone on my hand, it slipped and fell in a drum
of water. Consequently, the cellphone and the Talk ‘N Text sim card
therein is now beyond repair.

3. As a result of which, and despite diligent efforts to recover


the same, I am not able to access my GCASH account registered
under my name and under the same number, XXXXXXX

4. I am executing this affidavit for whatever legal purpose


and to request that my GCASH account under my name and number
XXXXXX be transferred to my new GCASH account and sim card
number ____________ and as proof of my good faith under the pain
of prosecution for perjury.

IN WITNESS WHEREOF, I have hereunto set my hands this


________ day of _______ 20______ in_______

Malakas Makisig
Affiant

SUBSCRIBED AND SWORN to before me this ____ day of _____


20____ at ________, affiant personally appeared before me and
exhibited his _______________with I.D. no_____________ valid
until_______.

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