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Moreno Affidavit of Loss

Joshua M. Moreno filed an Affidavit of Loss stating that he lost his Driver's License number C10-17-017804 issued on July 9, 2022 sometime in January 2023. Despite searching diligently, he was unable to find or recover the lost license. He affirms that the license has not been confiscated by any law enforcement and he is filing this affidavit to support his application for a new driver's license.

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68 views1 page

Moreno Affidavit of Loss

Joshua M. Moreno filed an Affidavit of Loss stating that he lost his Driver's License number C10-17-017804 issued on July 9, 2022 sometime in January 2023. Despite searching diligently, he was unable to find or recover the lost license. He affirms that the license has not been confiscated by any law enforcement and he is filing this affidavit to support his application for a new driver's license.

Uploaded by

RR F
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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REPUBLIC OF THE PHILIPPINES)

MAKATI CITY ) S.S.

AFFIDAVIT OF LOSS

I, Joshua M. Moreno, of legal age, Filipino, single, and a resident of


68 St. John Villena Sub Sn Vicente, Apalit Pampanga, Region 3, after
having been duly sworn in accordance with law, depose and state that:

1. On 9 July 2022, I was issued my Driver’s License No. C10-


17-017804 (the “Driver’s License”);

2. Sometime in January 2023, I lost my Driver’s License;

3. Despite diligent efforts exerted to locate said Driver’s


License, I could no longer find the same, and to the best of
my knowledge, it is now beyond recovery;

4. Said Driver’s License has not been confiscated by any


officer of the law or the issuing office or agency due to any
violation of law, order, rule, or regulation;

5. I am executing this Affidavit of Loss to attest to the truth of


the foregoing, and to support my application for the issuance
of a new Driver’s License;

IN WITNESS WHEREOF, I have hereunto set my hand this ___ day


of January 2023 in___________________________.

Joshua M. Moreno
Affiant

SUBSCRIBED AND SWORN to before me on this ___ day of


January 2023 at ____________________________, affiant who is
personally known to me, and has satisfactorily proven to me his identity
through competent evidence, exhibiting his
________________________________________.

Doc No. _______;


Page No. _______;
Book No. _______;
Series of 2023.

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