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    Affidavit of Loss - Wallet - Banjo Bambico

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    Lovella May Huliganga
    Berlinda C. Gapasin lost her Social Security System (SSS) ID card while on a bus trip to Manila on May 30, 2016. She diligently searched for the card but was unable to find it. In this affidavit, she attests to losing the SSS ID card and requests a new one be issued. The affidavit was sworn before a notary on August 2, 2018 in Naguilian, La Union, Philippines.

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    Affidavit of Loss - Wallet - Banjo Bambico

    Uploaded by

    Lovella May Huliganga
    107 views1 page
    Berlinda C. Gapasin lost her Social Security System (SSS) ID card while on a bus trip to Manila on May 30, 2016. She diligently searched for the card but was unable to find it. In this affidavit, she attests to losing the SSS ID card and requests a new one be issued. The affidavit was sworn before a notary on August 2, 2018 in Naguilian, La Union, Philippines.

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    Affidavit of Loss_wallet_banjo Bambico

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    Berlinda C. Gapasin lost her Social Security System (SSS) ID card while on a bus trip to Manila on May 30, 2016. She diligently searched for the card but was unable to find it. In this affidavit, she attests to losing the SSS ID card and requests a new one be issued. The affidavit was sworn before a notary on August 2, 2018 in Naguilian, La Union, Philippines.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    107 views1 page

    Affidavit of Loss - Wallet - Banjo Bambico

    Uploaded by

    Lovella May Huliganga
    Berlinda C. Gapasin lost her Social Security System (SSS) ID card while on a bus trip to Manila on May 30, 2016. She diligently searched for the card but was unable to find it. In this affidavit, she attests to losing the SSS ID card and requests a new one be issued. The affidavit was sworn before a notary on August 2, 2018 in Naguilian, La Union, Philippines.

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    © All Rights Reserved
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    of 1

    Republic of the Philippines )

    Province of La Union )S.S.


    Municipality of Naguilian )
    x----------------- --x

    AFFIDAVIT OF LOSS
    I, BERLINDA C. GAPASIN, Filipino, of legal age, widow, and a resident
    of Brgy. Bancagan, Naguilian, Naguilian, La Union, Philippines, after being
    duly sworn to in accordance with law, hereby depose and state:

    1. That I am a bonafide member of Social Security System (SSS) and I


    was issued a corresponding SSS ID in their branch office in San
    Fernando, La Union;

    2. That I kept such SSS ID in my wallet for safekeeping;

    3. That sometime on May 30, 2016, at around 12:00 – 2:00 pm, while I
    was on board a bus going to Manila, my SSS ID must have been
    dropped from my wallet and when I was about to look for said SSS
    ID, I found out that it was no longer where I kept it and was missing;

    4. That I diligently searched for my SSS ID and as all efforts to find the
    same proved unrewarding, it is now safe to conclude that recovery
    of the same is an impossibility;

    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 SSS ID in lieu of the one that was lost and for other legal
    purposes that this Affidavit could serve.

    IN WITNESS WHEREOF, I have hereunto set my hand this 2nd day of


    August 2018 at Naguilian, La Union, Philippines.

    BERLINDA C. GAPASIN
    Affiant
    Senior Citizen ID # 8872

    SUBSCRIBED AND SWORN to before me this 2nd day of August 2018 at


    Naguilian, La Union, Philippines.

    ATTY. LOVELLA MAY B. HULIGANGA


    Notary Public until December 31, 2018
    2nd floor, GACP Arcade Bldg., Ortiz,
    Naguilian, La Union
    Roll No. 62463; 04.29.13
    IBP No. 23888; 01.10.18
    PTR No. 2699465; 01.03.18; La Union
    MCLE Compliance No. V-0002517; 05.29.14
    TIN No. 255-518-493

    Doc. No. _______


    Page No. ______
    Book No. _______
    Series of 2018

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