Professional Documents
Culture Documents
City of Tarlac )
AFFIDAVIT OF LOSS
I, MALY YANN, of legal age, its complicated, and a resident of Dito St.,
Brgy. Lang Sa, Tarlac after being duly sworn according to law, do hereby depose
and state that:
2. Being registered with the Department of Trade and Industry (DTI) last May
2011, the said Government agency issued DTI Certification;
4. Despite diligent search and best efforts, I failed to locate and recover the
said DTI Certification to this day;
_____________________________
MALY YANN
SSS NO: 3X-2X2X3474-0
SUBSCRIBED AND SWORN TO before me, a notary public in and for Tarlac
City this 18th day of October. The affiant, whom I identified through the following
competent evidence of identity: SSS NO: 33-2058474-0, issued by Social Security
System(SSS), personally signed the foregoing instrument before me and vowed
under penalty of law to the whole truth of the contents of said instrument.