Affidavit of Loss (Identification cards)

Republic of the Philippines)

                                     ) S.S.

AFFIDAVIT OF LOSS

(Identification Cards)

I, ________, of legal age, Filipino, single and a resident of _________________, after having been duly sworn to in accordance with law, depose and state THAT:

1.   I am a seafarer working overseas and was recently deployed in Hawaii.

2.   Previously, I was issued the following documents/identification cards by the Philippine government:

a.)         SSS ID No. ________

b.)         Pag-ibig ID No. _________

c.)          TIN ID No. _________

d.)         OWWA Membership ID

3.   During my latest deployment as fisherman-seafarer in Hawaii, I brought with me the said identification cards. I placed all of them in my wallet.

4.   Unfortunately, on ________ around 4PM, our fishing vessel FV ______, while docked at ___________, got burned which started from the electrical components in the pilot house.

5.   Luckily, I was not present during the said incident as I was in another boat having a haircut, but I left my wallet with all the above identification cards inside my locker which were all consumed by fire.

6.   I tried to look for the said IDs after the fire was put out by a fire truck but the entire cabin area where my locker is located was burned; thus, these identification cards are 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 the new ones in lieu of those ones which were lost.

IN WITNESS WHEREOF, I have hereunto set my hand this ___________________ in ___________, Metro Manila, Philippines.

_____________

Affiant

SUBSCRIBED AND SWORN to before me this _______ day of __________________ in __________________, Metro Manila, affiant exhibiting to her Government Issued ID No. __________ issued on _____________ at ____________.

 NOTARY PUBLIC

Doc. No. Page No. Book No. Series of 2017.

Affidavit of Loss (Passport)

Republic of the Philippines)

                                     ) S.S.

AFFIDAVIT OF LOSS

(PASSPORT)

I, ___________________, of legal age, Filipino, single and a resident of _______________________________, after having been duly sworn to in accordance with law, depose and state THAT:

1. On January 12, 2010, I was issued a Philippine Passport by the Department of Affairs in Manila;

2. Recently, 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 ___________, Metro Manila, Philippines.

_______________

Affiant

SUBSCRIBED AND SWORN to before me this _______ day of __________________ in __________________, Metro Manila, affiant exhibiting to her Government Issued ID No. __________ issued on _____________ at ____________.

Doc. No. ____;
Page No. ____;
Book No. ____;
Series of 2017.

Affidavit of Loss

Republic of the Philippines)

                                     ) S.S.

AFFIDAVIT OF LOSS OF SPA

I, ________________, of legal age, Filipino, single and a resident of _________________________, after having been duly sworn to in accordance with law, depose and state THAT:

On November 17, 2016, a Special Power of Attorney was executed by the registered owners ________ and ____________ acknowledged before Notary Public ____________ (Doc. No. ___; Page No. __; Book No. __; Series of 2016) authorizing Ms.________ to sell the property covered by CCT Nos. ______ and ______ and execute necessary documents relative thereto.

Sometime in July 2017, the original copy of the said Special Power of Attorney given to me could not be found and that despite of diligent search and efforts, the same could no longer be found such that I now believe that it is now lost beyond recovery.

As such, I am executing this Affidavit of Loss to attest to the truth of the foregoing and for whatever legal purposes that this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this ___________________ in ___________, Metro Manila, Philippines.

___________

Affiant

SUBSCRIBED AND SWORN to before me this _______ day of __________________ in __________________, Metro Manila, affiant exhibiting to her Government Issued ID No. ____________.

	Doc. No. Page No. Book No. Series of 2017.