AFFIDAVIT OF LOSS I, ALBERTO CELSO C. legal age, with postal address Road 1, Project 6, Quezon sworn to in accordance with state:
VICTORIA, JR., Filipino, of
at No. 2K Unit 5 Alley 27 City, after having been duly law, do hereby depose and
1. That I was DULY issued with AMWSLAI (Air
Materiel Wing Savings and Loan Association Inc.) Passbook/Policy; 2. That sometime on 2010, the afore-stated effect was mislaid in our house or had been inadvertently trashed by someone who has no knowledge of its importance; 3. That unfortunately, however, despite diligent and exhausted efforts exerted, the same could no longer be recovered; 4. That for this reason, I am declaring and considering my aforesaid effects as lost beyond recovery; and 5. I have executed this Affidavit to attest to the truth and veracity of all the foregoing for all legal intents and legitimate purpose this may serve. Affiant further sayeth naught. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my signature on this 03rd day of October, 2013, in Quezon City, Metro Manila, Philippines.
ALBERTO CELSO C. VICTORIA,
JR. Affiant SUBSCRIBED AND SWORN to before on the date and place above-written.
Doc. No._____; Page No._____; Book No._____; Series of 2013.