Beruflich Dokumente
Kultur Dokumente
AFFIDAVIT OF LOSS
I, EDWIN D. WILLIAM, of legal age, married, Filipino Citizen with residence and
postal address at Palansa, Bila, Bokod, Benguet after having been duly sworn to in
accordance with law do hereby depose and state that:
4. The said Drivers License has not been given nor pledged to anyone for any
purpose whatsoever, nor was it taken or confiscated by the authorities for any
violation of any law or traffic law or regulations;
IN WITNESS WHEREOF, I have hereunto set my hand this 7th day of July 2016,
at Baguio City, Philippines.
EDWIN D. WILLIAM
Affiant
SUBSCRIBED AND SWORN TO before me this 7TH day of July 2016 at Baguio
City, Philippines. Affiant personally appeared before me and known to me personally
known to me to be the same person who executed this instrument freely and willingly.
MODESTO T. ANDONG
Notary Public
Commission No. 35-NC-16-R/Until: December 31, 2017
PTR No. 2426420/12-15-15/Baguio City
IBP No. 0980937/12-04-15/Baguio-Benguet Chapter
Roll No. 31289/5-15-81/Manila
MCLE COMPLIANCE No. V-0002709/July 3, 2014
BIR TIN No. 121-017-652
No. 13-B, 2nd Floor Old Market Bldg.,
Magsaysay Ave., Baguio City, Philippines
Doc. No. 230;
Page No. 46;
Book No. 18;
Series of 2016.