Professional Documents
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Affidavit - Damage To Vehicle
Affidavit - Damage To Vehicle
City of Malaybalay
) S.S.
That I, CYRIL JOHN C. NOVAL, of legal age, Filipino and a resident of P-2,
Kisolon, Sumilao, Bukidnon, after having been duly sworn to in accordance with the
law, do hereby depose and state, to wit:
1 That I am a duly licensed driver with Professional Drivers License No. K0307-001520 which is valid until June 18, 2015.
2 That I am an Account Officer of D Asian Hills Bank, Inc. assigned at
Dangcagan Branch;
3 That on February 11, 2015, I was driving a motor vehicle owned and
registered in the name of D Asian Hills Bank, Inc. which is more
particularly described as follows:
Model
Color
Plate No.
CR No.
OR No.
:
:
:
HONDA XRM 125
BLACK / WHITE
KP3216
:
11850692-02
:
000020110089468
That at about 10:00 pm more or less on the same day, the said motor
vehicle was allegedly burned while I was travelling going to Poblacion
Dangcagan, Bukidnon. As a result, some parts of it were totally damaged
such as the seat, air cleaner, wirings, covers among others;
That I am executing this Affidavit to attest the truth of the foregoing facts
and in support of the claim against the insurer for the repair of the
damage caused to the said company vehicle.