Professional Documents
Culture Documents
Affidavit of Self Accident
Affidavit of Self Accident
Affidavit of Self Accident
Model : 2020
Make : Mitsubishi
Plate No. : DAT9552
MV FILE No. : 0401-00001318496
SERIES : MONTERO SPT GLS
COLOR : Medium Red
CR No. : 40659556-0
2. That, on March 17, 2024, at around 6:00 pm, at the garage of my house,
while I was cleaning my motorcycle near in the left side of the said vehicle
I accidentally knocked the motorcycle over the side of the said vehicle;
3. As a result of the accident, the left side passenger door has been dent and
scratch ;
4. That, no one around to ask about the incident so there is no police report
to be saught;
EDERLINE H. MANALO
Affiant
WITNESS MY HAND AND SEAL on the date and at the place first above
written.
Doc. No.
Page No.
Book No.
Series of 2024