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    Affidavit of Loss Sim Card

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    Ser Mejia

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Affidavit of Loss Sim Card

    Uploaded by

    Ser Mejia
    21 views1 page

    Original Title

    AFFIDAVIT OF LOSS SIM CARD

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    21 views1 page

    Affidavit of Loss Sim Card

    Uploaded by

    Ser Mejia

    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)

    CITY OF MANILA) SS.


    X-----------------------------------------X

    AFFIDAVIT OF LOSS

    I, (insert name here), Filipino, of legal age, single and a resident of (insert address here), Philippines,
    after having duly sworn to in accordance with law, hereby depose and say that:

    1. I am the holder of a Subscriber Identity Module (SIM) Card Number (insert number here)
    issued by Smart Communication.
    2. I lost said SIM card on (insert date here) and that I exerted all efforts to locate the sim, but I
    could not remember exactly where I placed/left it and it is considered lost for all legal
    purposes;
    3. Said SIM Card was not confiscated by any officer of the law by reason of any violation of any
    law, ordinance, presidential decree or rules and regulation of anything; and neither was it
    offered as collateral for any loan;
    4. I am executing this affidavit to attest to the foregoing facts.

    IN WITNESS WHEREOF, I have hereunto set my hand this ______________ in the city of
    ___________, Philippines.

    (Insert Name of Affiant)


    Affiant

    SUBSCRIBED AND SWORN to before me this _______________ in the City of ____________


    Philippines, affiant having exhibited to me(his or her)community tax certificate with no.
    _______________ issued on ______________ at _____________.

    Doc. No.____;
    Page No.____;
    Book No.____;
    Series of 2022.

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