Republic of the Philippines

Cebu City…………) S.S.

X--------------------------------X

AFFIDAVIT OF LOSS

I, RAY ANTHONY V. CASIMIRO, of legal age, Filipino, and a

resident of 59- C A. Lopez St., Calamba, Cebu City, Philippines, after
having been duly sworn to in accordance with law do hereby depose and
say:

That on February 3, 2014, I was issued official receipts (O.R. Nos.

4613699 and 4613700) by the City Hall of Zamboanga City for the payment
of cash and rehabilitation bond for my sand and gravel business.

That on early part of 2016, the said business has ceased its operations
due to some reason. While I was looking for the aforementioned official
receipts for me to be able to claim/ withdraw the bonds posted, I only found
a photocopy of the said receipts and despite of all the earnest and serious
efforts exerted to recover the original copies of the receipts, it proved futile
and still could not be found. Therefore, I considered it lost beyond my
recovery.

That I am executing this affidavit for the purpose of establishing the

foregoing facts under oath and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I hereby voluntarily set my hand and affix

my signature this ___ day of ________________ 20____, at Cebu City,
Philippines.

RAY ANTHONY V. CASIMIRO

Affiant

SUBCRIBED AND SWORN to before me this ____ day of

________________ 20____, at Cebu City, Philippines.
Republic of the Philippines
Zamboanga City…………) S.S.
X----------------------------------X

AFFIDAVIT OF LOSS

I, NELSON A. CASIPE, of legal age, Filipino and a resident of

Zambowood, Zamboanga City, Philippines, after having been duly sworn to
in accordance with law do hereby depose and say:

That I am a bonafide member of the Social Security System, and

holder of an SSS ID, an ATM account holder and a senior citizen likewise
holding a senior citizen’s ID;

That on March 23, 2016, I found out that the said SSS ID, ATM and
senior citizen’s ID card were lost in my possession;

That despite of all the serious efforts that I have exerted to recover my
ID’s, the same could still not be found. Therefore, I considered it lost beyond
recovery.

That I am executing this affidavit for the purpose of establishing the

foregoing facts under oath and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I hereby voluntarily affix my signature

this 28th day of March 2016, at Zamboanga City, Philippines.

NESTOR C. CARPIO
Affiant

SUBCRIBED AND SWORN to before me this __th day of March

2016, at Zamboanga City, Phillipines.
Republic of the Philippines
Zamboanga City…………)S.S.
X----------------------------------X

AFFFIDAVIT OF LOSS

I, NELSON A. CASIPE, of legal age, Filipino and a resident of

Zambowood, Zamboanga City, Philippines, after having been duly sworn to
in accordance with law do hereby depose and say:

That I am a non professional driver and therefore am a holder of a

Non-Professional Driver’s License issued to me by the Land Transportation
Office (LTO) Zamboanga City Office, Veterans Avenue, Zamboanga City;

That on November 11, 2018, I found out that the said driver’s license
card was lost in my possession, and despite of all the serious efforts that I
had exerted to recover the same, it proved futile and still could not be found.
Therefore, I considered it lost beyond recovery.

That I am executing this affidavit for the purpose of establishing the

foregoing facts under oath and whatever legal purpose it may serve.

IN WITNESS WHEREOF, I hereby voluntarily affix my signature

this 16th day of November 2018, at Zamboanga City, Philippines.

NELSON A. CASIPE
Affiant

SUBCRIBED AND SWORN to before me this 16th day of November

2018, at Zamboanga City, Phillipines.
Republic of the Philippines
Zamboanga City…………)S.S.
X----------------------------------X

AFFIDAVIT OF LOSS

I, MILA JAYAG TAMPIOC, of legal age, Filipino, and a resident of

Sta. Barbara, Zamboanga City, Philippines, after having been duly sworn to
in accordance with law do hereby depose and say:

That I am a holder of an Enlisted Personnel Dependent ID issued to

me by the Headquarters Philippine Navy Armed Forces of the Philippines,
Roxas Boulevard, Manila;

That sometime of June 2016, I found out that the said Dependent’s ID
was lost in my possession, and despite of all the serious efforts that I had
exerted to recover the same, it still proved futile and still could not be found.
Therefore, I considered it lost beyond recovery.

That I am executing this affidavit for the purpose of establishing the

foregoing facts under oath; to request the authorized agency/ office for the
issuance of new ID in lieu of the one that I lost; and for whatever legal
purpose it may serve.

THAT AFFIANT FURTHER SAYETH NONE.

IN WITNESS WHEREOF, I have hereunto set my hand this 19 th day

of July 2016, at Zamboanga City, Philippines.

MILA JAYAG TAMPIOC

Affiant

SUBCRIBED AND SWORN to before me this 19th day of July 2016,

at Zamboanga City, Philippines.
Republic of the Philippines
Zamboanga City…………) S.S.
X----------------------------------X

AFFIDAVIT OF LOSS

I, JEPARSON R. LIM, of legal age, Filipino, with residence

address at Jolo, Sulu, Philippines, after having been duly sworn to in
accordance with law do hereby depose and say:

That I was issued an Official Receipt dated August 26, 2016 for
a reservation fee at Toyota Motors Corporation;

That lately, I found out that the said official receipt was lost in
my possession, and despite of all earnest and serious efforts that I
had exerted to recover the same, it proved futile and still could not
be found. Therefore, I considered it lost beyond recovery.

That I am executing this affidavit for the purpose of

establishing the foregoing facts under oath and whatever legal
purpose it may serve.

IN WITNESS WHEREOF, I hereby voluntarily affix my signature

this 4 day of January 2017, at Zamboanga City, Philippines.
th

JEPARSON R. LIM
Affiant

SUBCRIBED AND SWORN to before me this 4 th day of January

2017, at Zamboanga City, Philippines.
Republic of the Philippines
Zamboanga City…………) S.S.
x----------------------------------x

AFFIDAVIT OF LOSS

I, JAY T. CAÑETE, of legal age, Filipino and a resident of

Camino Nuevo, Zamboanga City, Philippines, after having been duly
sworn to in accordance with law do hereby depose and say:

That I am a holder of a Professional Driver’s License issued by

the Land Transportation Office (LTO), Zamboanga City Office,
Veterans Avenue, Zamboanga City;

That on July 13, 2017, I found out that the said driver’s license
was lost in my possession, and despite of all earnest and serious
efforts that I had exerted to recover the same, it proved futile and
still could not be found. Therefore, I considered it lost beyond
recovery.

That I am executing this affidavit for the purpose of

establishing the foregoing facts under oath, to requests for a new
professional driver’s license in lieu of the one that I lost, and for
whatever legal purpose it may serve.

IN WITNESS WHEREOF, I hereby voluntarily affix my

signature this ____ day of July 2017, at Zamboanga City, Philippines.

JAY T. CAÑETE
Affiant

SUBCRIBED AND SWORN to before me this ____ day of July

2017, at Zamboanga City, Philippines.