I, ROLANDO M. GUINSATAO JR., of legal age, married, Filipino citizen
and a resident of Brgy. Malasin, Dupax Del Norte, Nueva Vizcaya, after having been duly sworn to an oath in accordance with law, do hereby depose and state:
1. That I am a bonafide holder of a Social Security System Identification
Card with Number 01-1497765-0 which was issued under my name by the Social Security System at Solano, Nueva Vizcaya ;
2. That said Identification Card was always in my possession as I placed
the same in my wallet and I have been carrying it with me wherever I go. However, sometime in July 2018, when I was looking for it in my wallet the said card was missing;
3. That finding the futility of recovering the said card, it is hereby
declared that the same is considered lost and beyond recovery;
4. That I attest to the veracity of the foregoing statements and hereby
execute this affidavit for the purpose of securing another SSS card in lieu of the lost one.
IN WITNESS WHEREOF, I have hereunto set my hand this 1st day of
August 2018 at Bayombong, Nueva Vizcaya.
ROLANDO M. GUINSATAO JR.
Affiant PhilHealth ID No. 06-025019168-8
SUBSCRIBED AND SWORN to before me this 1st day of August 2018