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Republic of the Philippines)

City of Tacloban ) S.S.


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

AFFIDAVIT OF LOSS

I, LUISITO MILITANTE RANZE, of legal age, married, Filipino, and a resident


of Block 21 Lot 24 Phase 2B V&G Subdivision Tacloban City, after having been duly
sworn to in accordance with law, do hereby depose and state that:

1. I currently have an account with the Bank of the Philippine Islands (BPI) with
number 3529182642 for which I was issued a corresponding ATM Card with
number 536347 0017 2472 35 under my name by said bank;

2. I kept said ATM Card in my wallet at all times for ease of access whenever I have
to use it;

3. Sometime last month, I was about to use said card to withdraw when I
discovered that the abovementioned card was missing;

4. Upon realizing such fact, I took all the pains in trying to find said card but all of
my efforts in the end turned to be futile;

5. On account of time constraints, I hereby consider my card as having been totally


lost beyond recovery for all legal purposes; and

6. I am executing this Affidavit to attest to the truth of the foregoing and to apprise
the proper authorities for the issuance of a new one and for other purposes.

IN WITNESS WHEREOF, I have hereunto affixed my signature on this 15th day


of April, 2024 at Tacloban City, Philippines.

LUISITO MILITANTE RANZE


Affiant

SUBSCRIBED AND SWORN to before me this 15th day of April, 2024 in


Tacloban City, Philippines, affiant exhibiting to me his competent evidence of identity
by way of Driver’s License No. H02-97-042857 valid until 2023/09/13 at Tacloban City,
Philippines.

WITNESS MY HAND AND SEAL this 15th day of April, 2024 in Tacloban City,
Philippines.

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