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  • Affidavitof Loss: Notary Public

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    Jayr Paul Umangay
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    Maria Valentina D. Andres filed an affidavit of loss stating that she lost her Social Security System ID card in December 2013 when she left her plastic envelope containing the ID card on public transportation. She signed the affidavit to declare the loss of her ID card and provided her residence certificate number and date as proof of identity.

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    Original Title

    A f f i d a v i t of Loss

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    Maria Valentina D. Andres filed an affidavit of loss stating that she lost her Social Security System ID card in December 2013 when she left her plastic envelope containing the ID card on public transportation. She signed the affidavit to declare the loss of her ID card and provided her residence certificate number and date as proof of identity.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    Download as doc, pdf, or txt
    9 views1 page

    Affidavitof Loss: Notary Public

    Uploaded by

    Jayr Paul Umangay
    Maria Valentina D. Andres filed an affidavit of loss stating that she lost her Social Security System ID card in December 2013 when she left her plastic envelope containing the ID card on public transportation. She signed the affidavit to declare the loss of her ID card and provided her residence certificate number and date as proof of identity.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    of 1

    AFFIDAVITOF LOSS

    I, Maria Valentina D. Andres, single, at legal age and presently residing at


    3401 Mag.
    Torres Street Bacood, Sta. Mesa, Manila;

    I hereby declare that I lost my Social Secuity System ID Card Number


    _____________
    on December 2013 when I left my plastic envelope in a public transportation
    which
    I enclosed it and can no longer found the said identication card.

    In witness hereof, I affix my signature as as indicated herein with my


    residence
    certificate no. _________dated on __________ in Manila City.

    MARLYN A. UMANGAY
    AFFIANT

    NOTARY PUBLIC

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