REPUBLIC OF THE PHILIPPINES )

CITY OF MANDAUE
) S.c.
AFFIDAVIT OF LOSS
I, VICTORIA O. RANODO, of legal age, married, Filipino and a
resident of Lapyahan, Labogon, Mandaue City, Cebu, after being sworn to in
accordance with law, depose and say that:
1.
2.
pocket;

I was previously issued a company ID;

I used to keep the above-mentioned evidence of identity in my

3.
A couple of days ago, while I was on my way to my home from
my workplace, I accidentally left my ID;
4.
I tried all efforts to locate the misplaced evidence of identity but
I was not able to find it;
5.

The said ID is now beyond recovery; and

6.
I am executing this sworn statement, as required, to enable me
to obtain a replacement for the said lost proof of identities.
IN WITNESS WHEREOF, I have hereunto set my hand this 2 nd day of
September 2016, in the City of Mandaue, Philippines.

VICTORIA O. RANODO
Affiant
JURAT
SUBSCRIBED and sworn to before me, this 2 nd day of September
2016, in the City of Mandaue by the above-mentioned affiant with the
following competent evidence of identity:
Evidence of Identity
ID Number
Validity Date
COMELEC ID
2230-0425AUp to Present
H0480VOR20000
Doc. No. ___;
Page No. ___;
Book No. ___;
Series of 2016.
Page 1 of 1