REPUBLIC OF THE PHILIPPINES)

PROVINCE OF CAVITE ) S.S.

AFFIDAVIT OF LOSS
I, ALDRIN H. SALAZAR, Filipino, of legal age, with address at Pajo, Alfonso
Cavite, after being duly sworn 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 number D18-17-
011460 valid until 2022-05-12;

2. On July 25, 2021, I accidentally dropped said Driver’s License without my

knowledge;

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 recover;

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

5. 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 TRUTH WHEREOF, I have hereunto affixed my signature this 26th day

of July, 2021 at Alfonso Cavite, Philippines.

ALDRIN H. SALAZAR
Affiant

SUBSCRIBE AND SWORN to before me this 26th day of July, 2021 at

Alfonso Cavite. Affiant exhibiting to me his UMID CRN-0111-8276810-4
WITNESS MY HAND AND SEAL.
Doc. No. 235 ;
Page No. 48 ; ATTY. ENRIQUE G. BAUTISTA JR.
Book No. XCVII; NOTARY PUBLIC FOR THE PROVINCE OF CAVITE
COMMISSION EXPIRES ON DECEMBER 31, 2022
Series of 2021. ROLL OF ATTORNEY’S NO.52758
PTR NO. 4168745/ISSUED ON 01/08/2021 AT ALFONSO CAVITE
IBP LIFETIME No. 031665/01/30/2018
MCLE COMPLIANCE VI-0011323 VALID UNTIL APRIL 14, 2022