Affidavit of Loss - Torres

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REPUBLIC OF THE PHILIPPINES)

CITY OF CAGAYAN DE ORO ) S.S.


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

AFFIDAVIT OF LOSS

I, MARK GODFREY D’LONSOD TORRES, of legal age, Filipino, married and a


resident of D5-008 Ramiro Compound, Abellanosa St., Brgy. Consolacion,
Cagayan de Oro City, after having been duly sworn to in accordance with law,
depose and state THAT:

1. I am the holder of Philippine Passport No. PP0221826 issued by the Department


of Affairs in Cagayan de Oro City;

2. My passport was lost in December 2011 at the height of typhoon Sendong;

2. I had tried to look for the said passport but the same could not be found;

3. Despite diligent search and efforts to locate the said passport, I could not find the
same such that I believe that it is now lost beyond recovery;

4. As such, I am executing this affidavit to attest to the foregoing facts and to


support the application for the issuance of a new one in lieu of the one which was
lost.

IN WITNESS WHEREOF, I have hereunto set my hand


this ___________________ in Cagayan de Oro City, Philippines.

____________________
Affiant

SUBCRIBED AND SWORN TO before me this ___________________ in


Cagayan de Oro City, Philippines, affiant exhibiting to me his Driver’s License
No.K02-09-007547 as valid proof of identification.

Doc. No. _____; ATTY. ERIC M. ALCANTARA


Notary Public
Page No. _____; For El Salvador City to Binuangan, including Cagayan de Oro City
Book No. _____; Notarial Commission No. NC-2019-166 until 31 Dec 2020
Almirante Ladera and Associates, 2nd Floor, Guevara Building,
Series of 2019. Tiano-Del Pilar St., Cagayan de Oro City
PTR No. 4418580, 6 Aug 2019, CDOC
IBP O.R. No. 088418, 10 Jun 2019, Mis. Or.
Roll of Attorneys No. 72517
TIN 264-220-887
MCLE (Date admitted: 14 Jun 2019;
Deadline of Compliance 14 Apr 2022)

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