Republic of the Philippines)
City of Zamboanga )s.s.
X---------------------------------X
AFFIDAVIT OF LOSS
I, LORIE DUMANDAN VILLA, of legal age, Filipino citizen, and a resident of
Malagutay, Zamboanga City, Philippines, after having been duly sworn to in accordance
with law, hereby depose and say, that:
1. I am a bona fide member Armed Forces of the Philippines and as such I am
issued a monthly pay slip by the said institution;
2. However, due to inadvertence and/or oversight my pay slip for the month
September 2021 got lost;
3. I exerted diligent efforts to look and locate for said pay slip in other places, but
all such efforts proved futile and to no avail;
4. For all intents and purposes, I am now declaring the above-mentioned pay
slip lost and beyond recovery;
5. I make these statements under oath and in good faith in order to establish the
fact of loss of the above-mentioned pay slip;
6. I execute this Affidavit to attest to the truth of the foregoing facts based on my
personal knowledge and authentic records and for whatever legal purposes it
may serve.
IN WITNESS WHEREOF, I have hereunto set my hand on this 09 th day of
September 2021 at Zamboanga City, Philippines.
LORIE DUMANDAN VILLA
Affiant
Armed Forces of the Philippines Identification Card No. A20-E-239111
SUBSCRIBED AND SWORN to before me on this 09th of September 2021 at
Zamboanga City, Philippines. Affiant exhibited to me her competent proof of identity as
written above.
Doc. No. ____
Page No. ____
Book No. ____
Series of 2021.