REPUBLIC OF THE PHILPPINES )

CITY OF GENERAL S A N T O S) S.S.

AFFIDAVIT OF LOSS

I, RICARDO LEE TAN, of legal age, Filipino, married and

resident of General Santos City, after having been duly sworn
to in accordance with law, do hereby depose and say:

1. That I am a member of Social Security System (SSS);

2. That I kept my SSS ID in my wallet where I used to;

3. That sometime in July 2017, my SSS ID was no longer in

my wallet;

4. That despite diligent efforts to locate the same but in

vain and is now considered lost;

5. That I am executing this affidavit to attest to the

truth of the foregoing facts and for whatever purpose
this may legally serve.

IN WITNESS WHEREOF, I have hereunto set my hand this

______________________ at General Santos City.

RICARDO LEE TAN

Affiant

SUBSCRIBED AND SWORN to before me this __________________

at General Santos City, affiant showed me his
______________________ as competent proof of his identity.

Doc. No. ________;

Page No. ________;
Book No. ________;
Series of 2018.
REPUBLIC OF THE PHILPPINES )
CITY OF GENERAL S A N T O S) S.S.

AFFIDAVIT OF LOSS

I, ALLAN JOEL T. NAVATO, of legal age, Filipino, married

and resident of General Santos City, after having been duly
sworn to in accordance with law, do hereby depose and say:

1. That I am a member of Social Security System (SSS) and

a holder of SSS ID No. 08-0989046-6;

2. That I kept my SSS ID in my wallet where I used to;

3. That just recently, said SSS ID was no longer in my

wallet;

4. That despite diligent efforts to locate the same but in

vain and is now considered lost;

5. That I am executing this affidavit to attest to the

truth of the foregoing facts and for whatever purpose
this may legally serve.

IN WITNESS WHEREOF, I have hereunto set my hand this

______________________ at General Santos City.

ALLAN JOEL T. NAVATO

Affiant

SUBSCRIBED AND SWORN to before me this __________________

at General Santos City, affiant exhibiting to me his
______________________ bearing her picture and signature.

Doc. No. ________;

Page No. ________;
Book No. ________;
Series of 2014.
REPUBLIC OF THE PHILPPINES )
CITY OF GENERAL S A N T O S) S.S.

AFFIDAVIT OF LOSS

I, GIRLY JANE Z. BATINGAL, of legal age, Filipino, and

resident of General Santos City, after having been duly sworn
to in accordance with law, do hereby depose and say:

1. That I am a holder of Voter’s ID issued by Commission

On Elections (COMELEC), General Santos City;

2. That I kept my Voter’s ID in my wallet where I used to;

3. That just recently, said Voter’s ID was no longer in my

wallet;

4. That despite diligent efforts to locate the same but in

vain and is now considered lost;

5. That I am executing this affidavit to attest to the

truth of the foregoing facts and for whatever purpose
this may legally serve.

IN WITNESS WHEREOF, I have hereunto set my hand this

______________________ at General Santos City.

GIRLY JANE Z. BATINGAL

Affiant

SUBSCRIBED AND SWORN to before me this __________________

at General Santos City, affiant exhibiting to me her
______________________ bearing her picture and signature.

Doc. No. ________;

Page No. ________;
Book No. ________;
Series of 2014.

REPUBLIC OF THE PHILPPINES )

CITY OF GENERAL S A N T O S) S.S.
x- - - - - - - - - - - - - - - - - - - - - - x

AFFIDAVIT OF CANCELLATION
OF DTI PERMIT

I, EDUARDO B. DUMALAG, JR., of legal age, Filipino, with postal address at Bascon
Compound, San Pedro St., Lagao, General Santos City, after having been duly sworn to in
accordance with law, do hereby depose and say:

1. That I am the owner/proprietor of NOOBS BOARDSHOP with business address at

Roxas St., General Santos City;
2. That I intend to cancel the DTI Permit of Noobs Boardshop from Brgy. South to Brgy.
East, General Santos City;
3. That I am executing this affidavit to attest to the truth of the foregoing facts and for the
purpose of changing the address of my DTI Permit from Brgy. Dad. South, to Brgy. Dad.
East, particularly at Roxas St., General Santos City.

IN WITNESS WHEREOF, I have hereunto set my hand this 30 th day of June, 2011 at
General Santos City.

EDUARDO B. DUMALAG
Affiant

SUBSCRIBED AND SWORN to before me this 30 th day of June, 2011 at General Santos
City, personally appeared Eduardo B. Dumalag identified by me to be the same person who executed
this instrument and exhibiting to me his Driver’s License No. L04-08-008399, bearing his photograph
and signature and acknowledged to me that the same is his free act and voluntary deed.

Doc. No. ____________;

Page No. ____________;
Book No. ____________;
Series of 2011.