REPUBLIC OF THE PHILIPPINES}
DONE: IN THE CITY OF BAGUIO } S.S.
x ------------------------------------------- x
AFFIDAVIT OF OWNERSHIP WITH UNDERTAKING
I, HERMIONE S. GRANGER, of legal age, Filipino, single and
a resident of #11 T. Bugallon St., West-Modern Site, Baguio City,
Philippines after having been duly sworn to in accordance with law
hereby depose and say that:
1. I am the absolute and legal owner of a GSM handset described
as follows:
Make/Model: NOKIA 6630 A. Grey
International Mobile Equipment Identification (IMEI):
354350003717668;
2. On January 22, 2019, I executed an Affidavit of Ownership and
Loss with Undertaking and filed the same with the National
Telecommunications Commission to authorize them and all
CMTS to block the said GSM handset for the reason that said
cellphone was stolen from me by an unidentified person/s;
3. However on February 14, 2019, I was able to retrieve said GSM
handset through a common friend;
4. I hereby request/authorize the National Telecommunication
Commission and all CMTS carriers to unblock the said GSM;
5. I hereby undertake to hold free from any responsibility or shall
not hold NTC and the above-mentioned carriers liable for
whatever claims, loss or damages or any that a party may
institute by reason of NTC’s action to unblock the afore-
mentioned unit;
6. In support of this request and as proof of my ownership of said
cellphone unit, I attach hereto a photocopy of the following
documents:
a. SSS ID Card Number 82948 - “Annex A”
b. Professional Driver’s License No. 93817 - “Annex B”
c. Employment Identification Card No. 2910 “Annex C”
d. Police Report “Annex D”;
7. I am executing this affidavit to attest to the truth of the foregoing
facts.
IN WITNESS WHEREOF, I have hereunto set my hand this 31ST
day of July 2019, in the City of Baguio, Philippines.
_____________________________
HERMIONE S. GRANGER
Affiant
SUBSCRIBED AND SWORN to before me, in the City of
Baguio this 31ST day of July 2019, by HERMIONE S. GRANGER who
has satisfactorily proven her identity through her SSS ID Card No.
82948, that she is the same person who executed and personally
signed the foregoing affidavit before me and acknowledged that she
executed the same.
Doc. No. __;
Page No. __;
Book No. __;
Series of 2019.