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REPUBLIC OF THE PHILIPPINES)

City of Tarlac ) S.S.


x------------------------x

AFFIDAVIT OF LOSS
I, PHILIP JOHN G. SALVADOR, of legal age, Filipino, and a resident of
Barangay San Pablo, Tarlac City, Philippines, after having been duly sworn in
accordance with law, hereby depose and say that:

1. I am the representative of Adonis M. Benedicto who is a regular user of a


Globe Telecom Subscriber Identity Module (SIM) Card and an account
holder of GCASH with No. 0926-2706-715 for several years now;

2. The above-said SIM Card was lost/went missing;

3. That recently, despite diligent efforts exerted to locate the same, it could no
longer be found and are now deemed lost and beyond recovery;

4. I am executing this Affidavit to attest to the truth of the foregoing facts and
in support of my application for the replacement of the said SIM Card and
for whatever legal intents and purposes it may serve.

Affiant states nothing further.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 20th


day of March 2021 in Tarlac City, Philippines.

PHILIP JOHN G. SALVADOR


Affiant

SUBSCRIBED AND SWORN to before me this 20th day of March 2021


in Tarlac City, Philippines.

Doc. No._____;
Page No._____;
Book No._____;
Series of 2021.
REPUBLIC OF THE PHILIPPINES)
City of Tarlac ) S.S.
x------------------------x

AFFIDAVIT OF LOSS
I, MARY FRENZEL D. TAÑEDO, of legal age, Filipino, and a
resident of Sitio Bacuit, Barangay Tibag, Tarlac City, Philippines, after
having been duly sworn in accordance with law, hereby depose and say
that:

1. I am a regular user of a Smart Communications Subscriber Identity


Module (SIM) Card with No. 0947-5121-164 for several years;

2. Sometime on November 2020, the above-said SIM Card went


missing;

3. I failed to recover the said SIM Card despite diligent search and
earnest efforts to locate it, and I consider the same as lost and beyond
recovery;

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


facts and in support of my application for the replacement of the said
SIM Card and for whatever legal intents and purposes it may serve.

Affiant states nothing further.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


4 day of December 2020 in Tarlac City, Philippines.
th

MARY FRENZEL D. TAÑEDO


Affiant

SUBSCRIBED AND SWORN to before me this 4th day of


December 2020 in Tarlac City, Philippines.

Doc. No._____;
Page No._____;
Book No._____;
Series of 2020.

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