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    PHILHEALTHLOSS

    Uploaded by

    marlon baltazar
    1) Catherine Chua Duyongco, Esperanza Yu Chua, Joy Chua Uy, and James Chua Uy filed affidavits of loss stating they lost their Philippine Health Insurance Corporation (PhilHealth) identification cards and are requesting new cards. 2) They state in their affidavits that they are bona fide PhilHealth members and were issued IDs to use for health services, but recently discovered their IDs were missing despite efforts to find them. 3) They executed the affidavits under oath to establish the facts of their lost IDs and request PhilHealth issue replacement cards.

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    © All Rights Reserved
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    PHILHEALTHLOSS

    Uploaded by

    marlon baltazar
    41 views4 pages
    1) Catherine Chua Duyongco, Esperanza Yu Chua, Joy Chua Uy, and James Chua Uy filed affidavits of loss stating they lost their Philippine Health Insurance Corporation (PhilHealth) identification cards and are requesting new cards. 2) They state in their affidavits that they are bona fide PhilHealth members and were issued IDs to use for health services, but recently discovered their IDs were missing despite efforts to find them. 3) They executed the affidavits under oath to establish the facts of their lost IDs and request PhilHealth issue replacement cards.

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    1) Catherine Chua Duyongco, Esperanza Yu Chua, Joy Chua Uy, and James Chua Uy filed affidavits of loss stating they lost their Philippine Health Insurance Corporation (PhilHealth) identification cards and are requesting new cards. 2) They state in their affidavits that they are bona fide PhilHealth members and were issued IDs to use for health services, but recently discovered their IDs were missing despite efforts to find them. 3) They executed the affidavits under oath to establish the facts of their lost IDs and request PhilHealth issue replacement cards.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    41 views4 pages

    PHILHEALTHLOSS

    Uploaded by

    marlon baltazar
    1) Catherine Chua Duyongco, Esperanza Yu Chua, Joy Chua Uy, and James Chua Uy filed affidavits of loss stating they lost their Philippine Health Insurance Corporation (PhilHealth) identification cards and are requesting new cards. 2) They state in their affidavits that they are bona fide PhilHealth members and were issued IDs to use for health services, but recently discovered their IDs were missing despite efforts to find them. 3) They executed the affidavits under oath to establish the facts of their lost IDs and request PhilHealth issue replacement cards.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 4

    Republic of the Philippines)

    Zamboanga City . . . . . . . .)S.S.


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

    AFFIDAVIT OF LOSS

    I, CATHERINE CHUA DUYONGCO, Filipino, of legal age, married and a resident of


    250 Don Toribio, Tetuan, Zamboanga City, Philippines, after having been duly sworn to an oath
    in accordance with law, depose and state:

    That I am a bonfide member of the Philippine Health Insurance


    Corporation (Philhealth);

    That as such, I was issued an ID by the said government entity to be used


    in case I need the services of a hospital should l get sick;

    That recently, I found out that my said Philhealth ID was no longer in my


    possession and was already missing;

    That despite diligent efforts were exerted to locate my Philhealth ID, the
    same proved futile and therefore, I consider it to be irretrievably lost;

    That I am executing this affidavit for the purpose of establishing the


    foregoing facts under oath, and to request the Philippine Health Insurance
    Corporation, Zamboanga City to issue me a new ID, in lieu of the one that I lost,
    and for whatever legal purpose this may serve.

    IN WITNESS WHEREOF, I hereby voluntarily affix my signature this 20 th day of May,


    at Zamboanga City, Philippines.

    CATHERINE CHUA DUYONGCO


    Affiant

    SUBSCRIBED AND SWORN to before me this 20 th day of May, at Zamboanga City,


    Philippines.

    Republic of the Philippines)


    Zamboanga City . . . . . . . .)S.S.
    x--------------------x

    AFFIDAVIT OF LOSS
    I, ESPERANZA YU CHUA, Filipino, of legal age, married and a resident of 250 Don
    Toribio, Tetuan, Zamboanga City, Philippines, after having been duly sworn to an oath in
    accordance with law, depose and state:

    That I am a bonfide member of the Philippine Health Insurance


    Corporation (Philhealth);

    That as such, I was issued an ID by the said government entity to be used


    in case I need the services of a hospital should l get sick;

    That recently, I found out that my said Philhealth ID was no longer in my


    possession and was already missing;

    That despite diligent efforts were exerted to locate my Philhealth ID, the
    same proved futile and therefore, I consider it to be irretrievably lost;

    That I am executing this affidavit for the purpose of establishing the


    foregoing facts under oath, and to request the Philippine Health Insurance
    Corporation, Zamboanga City to issue me a new ID, in lieu of the one that I lost,
    and for whatever legal purpose this may serve.

    IN WITNESS WHEREOF, I hereby voluntarily affix my signature this 20 th day of May,


    at Zamboanga City, Philippines.

    ESPERANZA YU CHUA
    Affiant

    SUBSCRIBED AND SWORN to before me this 20 th day of May, at Zamboanga City,


    Philippines.

    Republic of the Philippines)


    Zamboanga City . . . . . . . .)S.S.
    x--------------------x

    AFFIDAVIT OF LOSS

    I, JOY CHUA UY, Filipino, of legal age, married and a resident of 250 Don Toribio,
    Tetuan, Zamboanga City, Philippines, after having been duly sworn to an oath in accordance
    with law, depose and state:
    That I am a bonfide member of the Philippine Health Insurance
    Corporation (Philhealth);

    That as such, I was issued an ID by the said government entity to be used


    in case I need the services of a hospital should l get sick;

    That recently, I found out that my said Philhealth ID was no longer in my


    possession and was already missing;

    That despite diligent efforts were exerted to locate my Philhealth ID, the
    same proved futile and therefore, I consider it to be irretrievably lost;

    That I am executing this affidavit for the purpose of establishing the


    foregoing facts under oath, and to request the Philippine Health Insurance
    Corporation, Zamboanga City to issue me a new ID, in lieu of the one that I lost,
    and for whatever legal purpose this may serve.

    IN WITNESS WHEREOF, I hereby voluntarily affix my signature this ___ day of


    ______, at Zamboanga City, Philippines.

    JOY CHUA UY
    Affiant

    SUBSCRIBED AND SWORN to before me this this ___ day of ______, at Zamboanga
    City, Philippines.

    Republic of the Philippines)


    Zamboanga City . . . . . . . .)S.S.
    x--------------------x

    AFFIDAVIT OF LOSS

    I, JAMES CHUA UY, Filipino, of legal age, single and a resident of 250 Don Toribio,
    Tetuan, Zamboanga City, Philippines, after having been duly sworn to an oath in accordance
    with law, depose and state:

    That I am a bonfide member of the Philippine Health Insurance


    Corporation (Philhealth);
    That as such, I was issued an ID by the said government entity to be used
    in case I need the services of a hospital should l get sick;

    That recently, I found out that my said Philhealth ID was no longer in my


    possession and was already missing;

    That despite diligent efforts were exerted to locate my Philhealth ID, the
    same proved futile and therefore, I consider it to be irretrievably lost;

    That I am executing this affidavit for the purpose of establishing the


    foregoing facts under oath, and to request the Philippine Health Insurance
    Corporation, Zamboanga City to issue me a new ID, in lieu of the one that I lost,
    and for whatever legal purpose this may serve.

    IN WITNESS WHEREOF, I hereby voluntarily affix my signature this ___ day of


    ______, at Zamboanga City, Philippines.

    JAMES CHUA UY
    Affiant

    SUBSCRIBED AND SWORN to before me this this ___ day of ______, at Zamboanga
    City, Philippines.

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