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    Affidavit of Loss - Driver's License

    Uploaded by

    Theodore Dolar
    The affidavit details that: [1] The affiant is a licensed driver who lost their driver's license. [2] The license was misplaced and lost on a specific date. [3] Diligent efforts to locate the lost license were unsuccessful. [4] The license had not been confiscated by authorities. [5] The affiant is submitting this affidavit of loss to apply for a new driver's license to replace the lost one.

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    Affidavit of Loss - Driver's License

    Uploaded by

    Theodore Dolar
    400 views1 page
    The affidavit details that: [1] The affiant is a licensed driver who lost their driver's license. [2] The license was misplaced and lost on a specific date. [3] Diligent efforts to locate the lost license were unsuccessful. [4] The license had not been confiscated by authorities. [5] The affiant is submitting this affidavit of loss to apply for a new driver's license to replace the lost one.

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    The affidavit details that: [1] The affiant is a licensed driver who lost their driver's license. [2] The license was misplaced and lost on a specific date. [3] Diligent efforts to locate the lost license were unsuccessful. [4] The license had not been confiscated by authorities. [5] The affiant is submitting this affidavit of loss to apply for a new driver's license to replace the lost one.

    Copyright:

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

    Affidavit of Loss - Driver's License

    Uploaded by

    Theodore Dolar
    The affidavit details that: [1] The affiant is a licensed driver who lost their driver's license. [2] The license was misplaced and lost on a specific date. [3] Diligent efforts to locate the lost license were unsuccessful. [4] The license had not been confiscated by authorities. [5] The affiant is submitting this affidavit of loss to apply for a new driver's license to replace the lost 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)
    _____________________________ ) S.S.

      

    AFFIDAVIT OF LOSS

    I, ___________________, of legal age, (Nationality), (single/married/widow) and a resident of


    _______________________________, after having been duly sworn to in accordance with law,
    depose and state THAT:

    1. I am a duly-licensed driver in accordance with pertinent Land Transportation laws, rules


    and regulations, and was issued a corresponding (Non) Professional Driver's License
    with number _____________ which is valid until _____________;

    2. Sometime on ____________, said driver's license was misplaced and lost;

    3. Diligent efforts were exerted to locate said driver's license, but in spite of such diligent
    search, it could not be found and the same is now beyond recovery;

    4. Said Driver's License has not been confiscated by the LTO, Police or other
    Traffic Enforcers for any traffic violation;

    5. As such, I am executing this Affidavit of Loss to attest to the truth of the foregoing and
    to support my application for the issuance of a new (Non) Professional Driver's License,
    in lieu of the one that was lost;

    IN WITNESS WHEREOF, I have hereunto set my hand this ___________________ in


    ____________________ City, Metro Manila, Philippines.

    ________________________
    Affiant

    SUBCRIBED AND SWORN TO before me this ___________________ in


    _________________, Philippines, affiant exhibiting to me his/her competent evidence of identity
    by way of __________________ issued at ______________ on __________________.

    Doc. No. _____;


    Page No. _____;
    Book No. _____;
    Series of 2023.

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