Professional Documents
Culture Documents
AFFIDAVIT OF LOSS
I, MONA LISA, of legal age, Filipino, single, and a resident of R506, Crystal Towers, Kassel
City Subd., Brgy. Abucay, Tacloban City, after having been sworn in accordance with law, hereby
deposes and states the following:
2. I have recently lost my UPB ATM Card with account number of 1092849921 and can
no longer be found or retrieved despite diligent efforts to locate the same;
MONA LISA
Affiant
SUBSCRIBED and SWORN TO before me on the date and at the place indicated below.
The affiant exhibited to me his competent evidence of identity as indicated above.