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AFFIDAVIT OF LOSS

I, LUISITO F. BATICANO, JR., of legal age, Filipino, single and a resident of Block 112
Lot 8, Phase 2 C II Karangalan Village, Pasig City, after having been duly sworn to in
accordance with law, depose and state THAT:

1. I am a duly licensed driver in accordance with pertinent Land
Transportation laws, rules and regulations, and was issued a corresponding Non -
Professional Driver's License with number D16-05-301715 which is valid until January 13, 2008;

2. Sometime in October 2011, said driver's license was misplaced and got lost;

3. Efforts were exerted to locate said driver's license, but in spite of diligent search, it
could not be found and the same is now beyond recovery;

4. Said Driver's License has not been confiscated by the LTO, Police or other
Traffic Enforcers for any traffic violation;

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 Non - Professional Driver's License, in
lieu of the one that was lost;

IN WITNESS WHEREOF, I have hereunto set my hand this 30
th
day of May 2014 in Pasig
City, Metro Manila, Philippines.

LUISITO F. BATICANO, JR.
Affiant

SUBCRIBED AND SWORN TO before me this 30
th
day of May 2014 in Pasig
City, Philippines, affiant exhibiting to me his competent evidence of identity by way of Voters
I.D VIN 7403-0660B-A1387LFB10000 issued at Pasig City.



Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2014.