Republic of the Philippines )

City of Valenzuela ) S.S

AFFIDAVIT OF LOSS

KNOW ALL MEN BY THESE PRESENTS:

I, _____________________, of legal age, Filipino, single, and a

resident of _____________________________________________, after
having been sworn in accordance with law, hereby depose and state
that:

1. I am the owner and holder of _________ with sim card number

______________ issued by Globe thru postpaid plan application;

2. The said cellphone unit was stolen sometime in March 2021;

3. I could not locate or find such Identification Card despite

diligent efforts to search for it;

4. I am executing this affidavit to attest to the truth of the foregoing facts

and to request for Globe to allow me to use and have access of the
above mentioned cellphone number.

IN WITNESS WHEREOF, I have hereunto affixed my signature this

___________________ at Valenzuela City, Philippines.

ERIC JIAN E. BONIFACIO

Affiant

SUBSCRIBED AND SWORN TO before me, a notary public in and

for _____________________ this __________________. The affiant, whom I
identified through the following competent evidence of identity: Driver’s License
No. ___________, personally signed the foregoing instrument before me and
avowed under penalty of law to the whole truth of the contents of said
instrument.

NOTARY PUBLIC

Doc No._____;
Page No.____;
Book No.____;
Series of 2022.