REPUBLIC OF THE PHILIPPINES )

LEMERY, BATANGAS ). S.S.

AFFIDAVIT OF LOSS

I, Manuel Mortel Venturanza, of legal age, married, Filipino, and a

resident of Wawa Ilaya, Lemery, Batangas, after being sworn in
accordance with the law hereby depose and say that:

1. I am a holder of an Eastwest Bank Card with Account No.

200056123708, issued by East West Bank;

2. The above-mentioned ATM card was lost sometime in

December, 2023 because of inadvertence and is no longer in
my possession;

3. Despite diligent efforts in order to find and locate the said ATM
card, the same could no longer be found and proved to be
beyond recovery;

4. That this affidavit was executed to attest the truth of the

foregoing and whatever legal purposes it may serve best.

IN WITNESS WHEREOF, we have hereunto set our hands this 11th

day of January 2024 at Lemery, Batangas, Philippines.

______________________________
___________
MANUEL M. VENTURANZA

SUBSCRIBED AND SWORN to before me this this 11th day of

January 2024 at Lemery, Batangas, Philippines, with affiant exhibiting his
UMID ID No. 006-0126-1349-2 at Lemery, Batangas.

Doc No. 2
Page No. 1
Book No. 1
Series of 2024