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AFFIDAVIT OF LOSS
2. Sometime on ____________, 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 30th day of June 2016 in
Cebu City, Philippines.
JULIUS C. CABILAO
Affiant
Community Tax Certificate__________