Download as doc, pdf, or txt
Download as doc, pdf, or txt
You are on page 1of 1

Republic of the Philippines)

City of Zamboanga. . . . . )s.s.


x-------------------------x)

A F F I D A V I T

I, JOVY C. MELANO, of legal age, Filipino, and a


resident of Calle Posporo, Barangay Vitali, Zamboanga
City, after having been duly sworn to in accordance
with law hereby depose and say:

1. That I am a holder of the Automated Card


(ATM) issued by Landbank of the Philippines

2. That the Automated Card (ATM) was totally gutted


by the fire during the incident that transpired
last March 17, 2018;

3. That I am executing this affidavit to attest to


the veracity of the foregoing facts and for
whatever legal purposes it may serve within the
bounds of the law.

IN WITNESS WHEREOF, We have hereunto set our hands


and affixed our signatures this _________ at Zamboanga
City, Philippines.

JOVY C. MELANO
Affiant

SUBSCRIBED AND SWORN TO before me this _________ at


Zamboanga City, Philippines.

You might also like