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REPUBLIC OF THE PHILIPPINES)

__________________________________) S.S.

AFFIDAVIT

I, RONIE DELOSO DELA CRUZ, single, of legal age, Filipino and a


resident of Taopon, Panganiban, Catanduanes, after having been sworn
to in accordance with law, depose and state:
1. That I am presently working in a hotel in Guadalupe, Makati
City;
2. That I am temporarily renting a house at Salawag, Dasmarias,
Cavite;
3. That on March 1, 2016 while riding in the MRT coming from
work, I noticed from the time I arrived in my rented house
that my wallet, which contain my Voter's ID, Driver's License,
Company ID and BIR ID and cash, was missing;
4. That I exerted efforts to locate the same but to no avail;
5. That I am requesting the concerned government agencies to
issue another copy of the said identification cards
IN WITNESS WHEREOF, I/WE have hereunto set my hands this
____ day of ________________________, 2016 at ________________________.

RONIE DELOSO DELA CRUZ


Affiant

SUBSCRIBED AND SWORN to before me this __day of _________,


2016, personally appeared RONIE DELOSO DELA CRUZ, who executed
the foregoing AFFIDAVIT consisting of one (1) page including the
acknowledgement thereof and he acknowledged to me that the same is
his free act and deed.
WITNESS MY HAND AND SEAL, on this date, and place above
written.

Doc. No. ______;


Page No. ______;
Book No. ______;
Series of 2016.