Kate Dhareen V. Eugenio files an affidavit of loss stating that she can no longer find her employee identification card issued by Baguio General Hospital and Medical Center where she works as an Administrative Officer I. She attests that after searching her files and belongings, the card is deemed lost and cannot be found or retrieved. She confirms that the card was not confiscated or relinquished. She executes this affidavit to support her application for a new identification card to replace the lost one.
Kate Dhareen V. Eugenio files an affidavit of loss stating that she can no longer find her employee identification card issued by Baguio General Hospital and Medical Center where she works as an Administrative Officer I. She attests that after searching her files and belongings, the card is deemed lost and cannot be found or retrieved. She confirms that the card was not confiscated or relinquished. She executes this affidavit to support her application for a new identification card to replace the lost one.
Kate Dhareen V. Eugenio files an affidavit of loss stating that she can no longer find her employee identification card issued by Baguio General Hospital and Medical Center where she works as an Administrative Officer I. She attests that after searching her files and belongings, the card is deemed lost and cannot be found or retrieved. She confirms that the card was not confiscated or relinquished. She executes this affidavit to support her application for a new identification card to replace the lost one.
Kate Dhareen V. Eugenio files an affidavit of loss stating that she can no longer find her employee identification card issued by Baguio General Hospital and Medical Center where she works as an Administrative Officer I. She attests that after searching her files and belongings, the card is deemed lost and cannot be found or retrieved. She confirms that the card was not confiscated or relinquished. She executes this affidavit to support her application for a new identification card to replace the lost one.
I, KATE DHAREEN V. EUGENIO, of legal age, married, Filipino, and a
resident of FB 204 Pines Park, La Trinidad, Benguet, Philippines, after being sworn in accordance with law, hereby depose and state—
1. In connection with my being Administrative Officer I of the Baguio
General Hospital and Medical Center, I was issued an employee identification card.
2. I recently discovered that my said employee identification card is missing.
I could no longer find it in my files or belongings. All my efforts to locate or retrieve it were all in vain; hence it is now deemed lost and beyond recovery. I certify and confirm that the said employee identification card was neither confiscated nor relinquished in favour of any government institution, office, agency or entity.
3. I attest to the truth of the foregoing statements to the best of my own
personal knowledge and based on authentic documents and records. I am executing this Affidavit of Loss to support my application with Baguio General Hospital and Medical Center for the issuance of a new employee identification card in lieu of the one that was lost as well as for all other lawful intents and purposes it may serve.
IN WITNESS WHEREOF, I set my hand this 12th day of February 2019 at
Baguio City, Philippines.
KATE DHAREEN V. EUGENIO
Affiant
SUBSCRIBED AND SWORN to before me this 12th day of February 2019 at
Baguio City, Philippines, affiant personally known to the undersigned.
ATTY. OSCAR A. CORPUZ, JR.
Notary Public Until December 31, 2019 N. A. No. 32-NC-18-R IBP No. 05108 12.04.2018 for 2019 Baguio City PTR No. 3884977 12.03.2018 for 2019 Baguio City Doc. No. 125 Room 202 2/F Otek Business Centre Page No. 25 No. 13 Otek Street, Baguio City 2600 Book No. IX Series of 2019