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Affidavit of Loss: Romy Tecson Mangumpit
Affidavit of Loss: Romy Tecson Mangumpit
Affidavit of Loss: Romy Tecson Mangumpit
AFFIDAVIT OF LOSS
I, ROMY TECSON MANGUMPIT, Filipino, of legal age, married, with present postal
address at Barangay Poblacion, Aurora, Zamboanga del Sur, after having been duly sworn to in
accordance with law, do hereby depose and say:
1. That I am habitually engaged in the job of making repairs to cell phones and/or
mobile phones of different customers who regularly come to my shop, situated in the arcade of
Aurora Public Market, Aurora, Zamboanga del Sur.
3. That the above-described single motorcycle which I purchased from Saga Motor
Company has been duly registered in LTO-Molave, Zamboanga del Sur, with my non-
professional driver’s license having been issued to me by the Molave LTO. My said non-
professional driver’s license will expire on August, 2018, while my registration of my said single
motorcycle with Official Receipt (O.R.) will expire earlier on June, 2018, respectively.
3. That despite diligent efforts I exerted to locate the exact place where I last stored it,
nevertheless my current non-professional driver’s license could no longer be traced and any
attempt on my part with the help of the immediate members of my family to locate its
whereabouts, the same also proved futile and to no avail; as a consequence thereof, I treat my
said non-professional driver’s license with expiry date: August, 2018, as having been lost
forever beyond discovery.
4. That I have executed this affidavit of loss to establish the veracity and truthfulness of
the foregoing facts for all legal intents and purposes, and in connection with my application for
renewal of my non-professional driver’s license with the LTO, Molave Branch Office, Molave,
Zamboanga del Sur, on August, 2018, yet.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my signature this 16th
day of April, 2018, at Pagadian City, Philippines.
SUBSCRIBED AND SWORN to before me this ____ day of April, 2018, at Pagadian City,
Philippines, the affiant exhibited to me his Community Tax Certificate for the current year 2018.
BAGONG LIPUNAN
Motor block, white Honda XRM 125. Plate # 090106 registered in Molave, ZDS
by Saga Company to be expired yet on June, 2018.