Affidavit of Loss (ID)
Affidavit of Loss (ID)
Affidavit of Loss (ID)
AFFIDAVIT OF LOSS
1. That I am a Senior Citizen I.D. holder, issued by the Office for the Senior
Citizens Affairs (OSCA), City Hall, Quezon City;
2. That I have recently discovered that the said item is lost sometime in
______________ and can no longer be found despite of diligent efforts to
locate the said item and considered it lost for all legal purposes;
3. That the said identification card was not confiscated by any officer of the law
by reason of any violation of any law, ordinance or presidential decree, rules
or regulation of any office; and
_____________________________
Affiant
Notary Public
Doc. No.
Page No.
Book No.
Series of ______