REPUBLIC OF THE PHILIPPINES )
CITY OF Ss
AFFIDAVIT OF LOSS
|, ENTERO VICENTE A, Filipino, of legal age, and residing at B18 42 MITSUBISHI ST., NOEL
HOMES, BRGY. SAN FRANCISCO, CITY OF BINAN, after having been sworn according
to law, hereby depose and state that:
1. | am the owner of ENTERO'S GENERAL MERCHANDISE, issued by DTI
BUSINESS NO 04489486 on January 23. 2017:
2. Last December 2021, my bag was lost while inside a restaurant; the envelope with
my original copy of DTI is there.
3. Despite diligent efforts, | could not find nor locate the same and | believe that it is
truly lost;
4. 1am executing this affidavit of loss for whatever legal purposes it may serve and
to request for a replacement of the said DTI Certificate.
fiat
Affiant
SUBSCRIBED AND SWORN to before me this day of 2022 at
Affiant personally appeared before me and exhit
NOTARY PUBLIC
Doc. No. __
Page No. __
Book No.
Series of 2022.