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    Affidavit of Loss Senior Citizen ID

    Uploaded by

    Tess Aboc
    A Filipino widow living in Pangasinan, Philippines executed an affidavit stating that: (1) she was issued a Senior Citizen Identification Card by her barangay; (2) she recently discovered that she could no longer find her ID card; and (3) despite her efforts, she was unable to locate the lost card and believes it is no longer possible to recover. She signed the affidavit to establish the loss of her Senior Citizen ID card and support her application for a new one.

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    © All Rights Reserved
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    Affidavit of Loss Senior Citizen ID

    Uploaded by

    Tess Aboc
    110 views1 page
    A Filipino widow living in Pangasinan, Philippines executed an affidavit stating that: (1) she was issued a Senior Citizen Identification Card by her barangay; (2) she recently discovered that she could no longer find her ID card; and (3) despite her efforts, she was unable to locate the lost card and believes it is no longer possible to recover. She signed the affidavit to establish the loss of her Senior Citizen ID card and support her application for a new one.

    Original Description:

    Template of Affidavit of Loss Senior Citizen ID

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    A Filipino widow living in Pangasinan, Philippines executed an affidavit stating that: (1) she was issued a Senior Citizen Identification Card by her barangay; (2) she recently discovered that she could no longer find her ID card; and (3) despite her efforts, she was unable to locate the lost card and believes it is no longer possible to recover. She signed the affidavit to establish the loss of her Senior Citizen ID card and support her application for a new one.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    110 views1 page

    Affidavit of Loss Senior Citizen ID

    Uploaded by

    Tess Aboc
    A Filipino widow living in Pangasinan, Philippines executed an affidavit stating that: (1) she was issued a Senior Citizen Identification Card by her barangay; (2) she recently discovered that she could no longer find her ID card; and (3) despite her efforts, she was unable to locate the lost card and believes it is no longer possible to recover. She signed the affidavit to establish the loss of her Senior Citizen ID card and support her application for a new one.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    Republic of the Philippines )

    Province of Pangasinan ) S.S.


    Municipality of Umingan )
    x……………………………. x

    AFFIDAVIT OF LOSS OF SENIOR CITIZEN I.D.

    I, ______________________, of legal age, widow, Filipino citizen, and a resident of


    Brgy. ___________________________, after being sworn to in accordance with law, depose and
    state:

    That as a registered senior citizen of Brgy. ______________________________, I was


    issued Senior Citizen Identification Card (ID) Number_________________;

    That to my surprise, I discovered several days ago that the said Identification Card could
    not be found;

    As all efforts to find the same proved unrewarding, it is now safe to conclude that the
    recovery of the same is no longer possible;

    Thus, I execute this affidavit to establish its loss and to support my application for the
    issuance of a new Senior Citizen Identification Card.

    IN WITNESS WHEREOF , I have hereunto affixed my signature this ______ day of


    __________ at Brgy. ____________________________, Philippines.

    ______________________
    Affiant

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