You are on page 1of 1

Republic of the Philippines ]

City of Tagbilaran ] S.S.

AFFIDAVIT

I, JOWELA LUZON VEDRA, Filipino, of legal age, single, and a resident of #0164 Maximo
Lasco St., Pooc Occidental, Tubigon, Bohol, after having been sworn in accordance with law, hereby
depose and say:

1. That sometime on May 2007, I applied for a Non-Professional Driver’s License with the Land
Transportation Office, Tagbilaran District Office, Tagbilaran City (LTO-Tagbilaran);

2. That my said application was approved by LTO-Tagbilaran;

3. That my Non-Professional Driver’s License, which was supposed to be valid until June 8,
2009, was not issued to me due to my own fault as I was not able to have my picture taken by LTO-
Tagbilaran because I suddenly went to Manila at the scheduled time for taking my picture;

4. That by these presents, I hereby undertake to comply with all requirements of LTO-Tagbilaran
for the issuance of my Non-Professional Driver’s License and its subsequent renewal;

5. That I execute this affidavit voluntarily to attest to the truth of the foregoing statements to
support the renewal of my Non-Professional Driver’s License with LTO-Tagbilaran;

6. That further, I execute this affidavit for whatever legal purpose this may serve.

IN WITNESS WHEREOF, I hereunto set my hand this 18 th day of May 2009 at Tagbilaran City,
Bohol, Philippines.

JOWELA LUZON VEDRA


Affiant

SUBSCRIBED AND SWORN to before me this May 18, 2009 at Tagbilaran City, Bohol,
Philippines, affiant with her Social Security System Identification Card with SS No. 06-2201025-8.

Atty. REYNARD D. NAMOCATCAT


Notary Public until December 31, 2009
PTR No. TAG0150403, 1-5-09; IBP No. 711227, 12-24-08
Attorney’s Roll No. 47939
Tagbilaran City

You might also like