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REPUBLIC OF THE PHILIPPINES)

CITY OF TAGUIG ) S.S.

AFFIDAVIT OF LOSS

I, CHARMAINE VENUS M. UY, Filipino, of legal age, single, and


with residence address at #9 Rustia St., E. Rodriguez Avenue, Cubao,
Quezon City, after having been duly sworn to in accordance with law,
depose and state that:

1. I am the owner and holder of an AUB Payroll Account ATM


Card (“ATM Card”) which was issued in connection with my employment
at TSD Global.

2. I used to place the ATM Card inside my coin purse.

3. Sometime on 15 May 2018, I looked for the ATM Card inside


my coin purse but realized that it was already missing.

4. I exerted diligent efforts to locate the ATM Card. However,


efforts to do so proved futile, as it could no longer be found.

5. I am executing this Affidavit to attest to the truth of the


foregoing and in support of my request for a replacement ATM Card.

IN WITNESS WHEREOF, I have hereunto set my hand this 22 nd day


of May 2018 in Taguig City, Metro Manila, Philippines.

__________________________________
CHARMAINE VENUS M. UY

SUBCRIBED AND SWORN TO before me this 22nd day of May


2018 in Taguig City, Philippines, affiant exhibiting to me her competent
evidence of identity by way of Comelec Voter’s ID No. VIN: 5605-0002B-
G0385CMU20000-6.

Doc. No. _____;


Page No. _____;
Book No. _____;
Series of 2018.
REPUBLIC OF THE PHILIPPINES)
CITY OF TAGUIG ) S.S.

AFFIDAVIT OF LOSS

I, ROSALLIE BOGNOT MENDOZA, Filipino, of legal age, single,


and with residence address at 210-B Roldan St., Hagonoy, Taguig City after
having been duly sworn to in accordance with law, depose and state that:

1. I am the owner and holder of an AUB Payroll Account ATM


Card (“ATM Card”) which was issued in connection with my employment
at TSD Global.

2. I used to place the ATM Card inside my wallet.

3. Sometime on 15 May 2018, I placed my wallet in my bag and


went to Market! Market! in Taguig.

4. Later on in that day, I looked for my wallet, which contained


the ATM Card. However, both were no longer inside the bag.

5. I exerted diligent efforts to locate the ATM Card. However,


efforts to do so proved futile, as it could no longer be found.

6. I surmised that the wallet and the ATM Card must have been
snatched away while I was at Market! Market!.

7. I am executing this Affidavit to attest to the truth of the


foregoing and in support of my request for a replacement ATM Card.

IN WITNESS WHEREOF, I have hereunto set my hand this 22 nd day


of May 2018 in Taguig City, Metro Manila, Philippines.

__________________________________
ROSALLIE BOGNOT MENDOZA

SUBCRIBED AND SWORN TO before me this 22nd day of May


2018 in Taguig City, Philippines, affiant exhibiting to me her competent
evidence of identity by way of Police Clearance Card No. PSY0012843.

Doc. No. _____;


Page No. _____;
Book No. _____;
Series of 2018.

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