Republic of the Philippine )

Caloocan City, Metro Manila) s.s.

AFFIDAVIT OF LOSS

KNOWN ALL MEN BY THESE PRESENTS:

I, Roger Walker, 50 years old, Swiss national and temporary residing at 8A

Reparo Street, Bagong Barrio, Caloocan City, after having been sworn in accordance
with law, hereby depose and states the following:

1. That I am the lawful holder of Swiss Passport;

2. That I used the said passport to travel in the Philippines;

3. That unfortunately, I discovered that said passport could no longer be found

from among my personal properties and belongs at home, probably having been lost
due to inattention and neglect in its custody and safekeeping;

4. That I there and then exerted efforts to retrieve the said passport upon
knowledge of its loss, but all such endeavors proved futile and to no avail, hence the
same is deemed lost and at a point beyond recovery, thereby needing replacement for
purposes of work or travel abroad;

5. That the said passport has not been encumbered, sold, pledged, assigned,
alienated, transferred, donated or given as collateral for any debt or obligation to or in
favor of any person or entity;

6. That I am executing this Affidavit in order to attest to the truth of the foregoing
facts and for all legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 1st day of July 2019
in the City of Caloocan, Metro Manila, Philippines

Roger Walker
Affiant

SUBSCRIBED AND SWORN to before me this ___th day of July 2019 in the City
of Caloocan, Metro Manila, Philippine.

Notary Public

Doc. No.: ________

Page No.: ________
Book No.: ________
Series of 2019
Republic of the Philippine )
Caloocan City, Metro Manila) s.s.

SWORN AFFIDAVIT

I, JASMIN CABCABAN AGOSTO, of legal age, Filipino and residing at No.66-A

Sitio Uno St., Barangay 2, Caloocan City, after having been sworn in accordance with
law, hereby depose and states the following:

1- That I offer different hair cutting and servicing and an online seller of different
foot apparel, dress and cosmetics;

2- That I used my online Facebook account to offer my service and sell my

merchandises;

3- That my small business is my main source of income and it almost occupies

the whole day of my time;

4- That I am executing this Affidavit in order to attest to the truth of the foregoing
facts and for legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 14th day of June
2019 in the City of Caloocan, Metro Manila, Philippines

JASMIN CABCABAN AGOSTO

Affiant

SUBSCRIBED AND SWORN to before me this ____th day of June 2019 in the
City of Caloocan, Metro Manila, Philippine.

Notary Public

Doc. No.: ________

Page No.: ________
Book No.: ________
Series of 2019
June 14, 2019

To whom it may concern:

Dear Sir/Madam:

I, JASMIN CABCABAN AGOSTO, of legal age, Filipino and residing at

No.66-A Sitio Uno St., Barangay 2, Caloocan City, certify that I am a self-
employed and I offer different hair cutting servicing and an online seller of
different foot apparel, dress and cosmetics.

I used my online Facebook account to offer my service and sell my

merchandises and it is the main source of my income.

This certification is to be used as a prerequisite for enrollment.

Respectfully yours,

JASMIN C AGOSTO
No.66-A Sitio Uno St.,
Barangay 2, Caloocan City
Republic of the Philippine )
Caloocan City, Metro Manila) s.s.

AFFIDAVIT OF LOSS

KNOWN ALL MEN BY THESE PRESENTS:

I, RAYMUND SARABIA y ICAL, of legal age, Filipino and residing at Block 36,
Lot 46, Phase 2, Parkling Homes, General Trias, Cavite, after having been sworn in
accordance with law, hereby depose and states the following:

1. That I am the lawful holder of Philippine Passport Number EC7891769 isued

to my name by the Department o Foreign Affairs, Manila on 02 June 2016 which shall
expire on 01 June 2021;

2. That the said passport was never used for travel abroad;

3. That unfortunately, however, I discovered that said passport could no longer

be found from among my personal properties and belongs at home, probably having
been lost due to inattention and neglect in its custody and safekeeping;

4. That I there and then exerted efforts to retrieve the said passport upon
knowledge of its loss, but all such endeavors proved futile and to no avail, hence the
same is deemed lost and at a point beyond recovery, thereby needing replacement for
purposes of work or travel abroad;

5. That the said passport has not been encumbered, sold, pledged, assigned,
alienated, transferred, donated or given as collateral for any debt or obligation to or in
favor of any person or entity;

6. That I am executing this Affidavit in order to attest to the truth of the foregoing
facts and for all legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 17th day of October
2018 in the City of Caloocan, Metro Manila, Philippines

RAYMUND I SARABIA
Affiant

SUBSCRIBED AND SWORN to before me this 17th day of October 2018 in the
City of Caloocan, Metro Manila, Philippine.

Notary Public

Doc. No.: ________

Page No.: ________
Book No.: ________
Series of 2018
Republic of the Philippine )
Caloocan City, Metro Manila) s.s.

AFFIDAVIT OF LOSS

KNOWN ALL MEN BY THESE PRESENTS:

I, JOEL DIMANARIG DAVID, of legal age, Filipino and residing 136 E.Castillo
St., Caloocan City, after having been sworn in accordance with law, hereby depose and
states the following:

1. I am a possessor of the following documents all issued under my name, such

as:

a. LTO Driver’s License;

b. SSS ID;
c. Papel de Ahensya from MZE Cellular Phone and Gadget shop
specifying the follow information:
Loan Agreement No.: MZE02009282018181745
Customer Name: Joel Dimanarig David
Pawn Loan Amount: Php 3,000.00
Loan Date: 09-28-2018 18:17:45
Due Date: 10-13-2018 18-17-45
Classification: Hi End
Brand: SAMSUNG
Serial Number of Item: 358447073758220
Model Number: J710 (2016)

2. Sometime on October 19, 2018, I discovered that my ID holder containing the

said documents were lost somewhere along Samson Road, Caloocan City;

3. That I exerted diligent effort to try to locate the same but serve futile.

4. I executed this affidavit to attest to the truth of the foregoing.

Signed this October 19, 2018 at Caloocan City

JOEL D DAVID
Affiant

Subscribed and SWORN TO before me on this date and at the place indicated
below. The affiant exhibited to me his competent evidence of identity as indicated
above.

Signed this ___________ at Caloocan City, Metro Manila, Philippines.

WITNESS MY HAND AND SEAL.

Notary Public

Doc. No.: ________

Page No.: ________
Book No.: ________
Series of 2018