Affidavit of Loss: Rachil Cabusas Tolentino
Affidavit of Loss: Rachil Cabusas Tolentino
Affidavit of Loss: Rachil Cabusas Tolentino
AFFIDAVIT OF LOSS
3. Sometime in July 9, 2020, while I was at Poblacion Public Market, unconsciously I dropped my
wallet containing the original copy of such Drivers License ID;
4. I exercised due diligence in locating the said ID Card and have reported its loss to the Police
Station in Poblacion, Prosperidad, Agusan del Sur;
5. My efforts to locate my Driver’s License and Voters ID have failed since until now the same has
not been found, leaving me with no other recourse but to request and process for the issuance of a
replacement thereof, for which purpose this affidavit is executed; and
IN WITNESS WHEREOF, I hereunto affix my signature this 30th day of July 2020 at Patin-ay,
Prosperidad, Agusan del Sur, Philippines.
SUBSCRIBED AND SWORN to before me, this 30th day of July 2020 at Patin-ay,
Prosperidad, Agusan del Sur, Philippines.