Republic of the Philippines)

Province of Cebu) s.s.

City of Carcar )
x- - - - - - - - - - - - - - - - - - -x

AFFIDAVIT OF LOSS

I, JAMES MOEN ERAN ALCUITAS, of legal age, married, Filipino and a resident of P Nellas St.,
Poblacion III, Carcar City, Cebu, after having been duly sworn to an oath in accordance with
law,

hereby depose and say:

1.
That I am a holder of PhilCare Health Card issued to me by GoVirtual Assistants Inc, Lahug,
Cebu City, Cebu;

2.
That as such, I was issued a PhilCare Health Card by the aforementioned
Office which I placed inside my wallet;

3.
That sometimes on November 12, 2023, the aforementioned PhilCare Health Card got
lost and nowhere to be found;

4.
That I exerted an exhaustive effort to locate the same but our search proved futile as
we could not locate the same up to the present;

5.
That I executed this affidavit in order to attest to the truth and veracity of the
foregoing for whatever legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 5th

day of April, 2024 in the
City of Carcar, Cebu, Philippines.

JAMES MOEN ERAN ALCUITAS

Affiant

SUBSCRIBED AND SWORN to before me this 5th

day of April, 2024 at Carcar City,
Cebu, Philippines.
Republic of the Philippines)
Province of Cebu) s.s.
City of Carcar )
x- - - - - - - - - - - - - - - - - - -x

AFFIDAVIT OF LOSS

I, JAMES MOEN ERAN ALCUITAS, of legal age, married, Filipino and a resident of P Nellas St.,
Poblacion III, Carcar City, Cebu, after having been duly sworn to an oath in accordance with
law,

hereby depose and say:

1.
That I am a holder of PhilCare Health Card issued to me by GoVirtual Assistants Inc, Lahug,
Cebu City, Cebu;

2.
That as such, I was issued a PhilCare Health Card by the aforementioned
Office which I placed inside my wallet;

3.
That sometimes on November 12, 2023, the aforementioned PhilCare Health Card got
lost and nowhere to be found;

4.
That I exerted an exhaustive effort to locate the same but our search proved futile as
we could not locate the same up to the present;

5.
That I executed this affidavit in order to attest to the truth and veracity of the
foregoing for whatever legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 5th

day of April, 2024 in the
City of Carcar, Cebu, Philippines.

JAMES MOEN ERAN ALCUITAS

Affiant

SUBSCRIBED AND SWORN to before me this 5th

day of April, 2024 at Carcar City,
Cebu, Philippines.