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Affidavit of Loss - Template, Sample Form to Fill out

✓ Valid in Philippines

Create your Affidavit of Loss - Template, Sample Form to Fill out for use in Philippines. Answer a few plain-English questions and the document fills in automatically as you go — then download it in Word and PDF, ready to sign or share.

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Affidavit of Loss - Template, Sample Form to Fill out
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REPUBLIC OF THE PHILIPPINES )
_______________________________, _______________________________ ) S.S.


AFFIDAVIT OF LOSS


I, ________, with the following nationality: Filipino, of legal age, and residing at: ________, after having been sworn according to law, hereby depose and state that:

1. I am the owner of a school ID with student no. ________ issued by ________.

2. On or about ________, I discovered the loss of the said school ID. I discovered the loss of the said under the following circumstances:

________

3. Despite diligent efforts, the same could not be found nor located and it is believed that the same is truly lost.

4. I am executing this affidavit for whatever legal purpose it may serve and to request for a replacement of the said school ID.

IN WITNESS WHEREOF, I have hereunto set my hand this _________ day of ______________________, 20______ at _______________________________, Philippines.



________
Affiant

Affiant, ________ personally appeared before me and exhibited to me the following competent proof of identity: _______________________________________.

Doc. No.: _________;
Page No.: _________;
Book No.: _________;
Series of _________.

Fields you complete are inserted into the document live. This template is general guidance only — not legal advice.