Affidavit of Loss
Affidavit of Loss
Affidavit of Loss
MEYCAUAYAN, ) SS.
AFFIDAVIT OF LOSS
I, Raymond Bernal Uribe, Filipino, of legal age, single, and a resident of Marilao,
Bulacan after having been duly sworn in accordance with law, hereby depose and say:
2. That I used to put said Passport together with other personal documents in my
wallet;
4. That despite diligent search and efforts to locate said wallet I could not find it,
and is now lost beyond recovery;
5 That I am executing this affidavit to attest to the truth of the foregoing facts and
to request for a replacement of the said passport.
___________________________
AFFIANT
Notary Public
Doc. No. ……..;
Page No. …….;
Book No. …….;
Series of 2018.