Professional Documents
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CITY OF MANDAUE
) S.c.
AFFIDAVIT OF LOSS
I, ULYSSES JOHN PO TAN, of legal age, Filipino married, and a
resident of Don Gervacio Quijada Street, South Plain Subdivision, Cebu
City, after being sworn to in accordance with law, depose and say that:
1.
I was previously issued a Sunlife Financial Philippines ID
(Redwood-Cebu Branch)with code number 083805;
2.
pocket;
3.
Few days ago, while I was on my way to my workplace, I
accidentally left the said ID;
4.
find it;
5.
I tried all efforts to locate the subject ID but I was not able to
The ID is now beyond recovery; and
6.
I am executing this sworn statement, as required, to enable me
to obtain a replacement for the said lost document.
IN WITNESS WHEREOF, I have hereunto set my hand this ___ day
of August 2015, in the City of Mandaue, Philippines.
ID Number
248-691-557000
Validity Date
Up to Present
Issued At
BIR