Affidavit of Loss Passport

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REPUBLIC OF THE PHILIPPINES)

PROVINCE OF CAGAYAN ) S.S


CITY OF TUGUEGARAO )
X- - - - - - - - - - - - - - - - - - - - - - - - X

AFFIDAVIT OF LOSS

I, MARY-ANN T. CABANGLAN, of legal age, Filipino, presently


residing at Aridowen, Sta. Teresita, Cagayan, after being duly sworn, hereby
depose and state:
1. That I was issued a Philippine Passport by the Department of Foreign
Affairs with Passport No. P9390464A valid until November 2, 2028;

2. That on February 6, 2019 I went at Andalous, Kuwait to work as a


domestic helper;

3. That I placed the said passport inside a brown envelop and keep it
inside a cabinet at the house of my employer at Andalous, Kuwait;

4. That sometime on December 26, 2020, I looked for the said passport
inside the envelop but the same could not be found;

5. That despite all efforts to find the said passport, I still cannot locate it
and consider it lost;

6. That I am executing this affidavit to attest to the truth of the foregoing


facts and to use the same for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I hereunto affix my signature this 16th day


of April, 2021 at Tuguegarao City, Cagayan.

MARY-ANN T. CABANGLAN
Affiant
Postal ID No. PRN A21180623080P

SUBSCRIBED AND SWORN to before me this 16th day of April, 2021


at Tuguegarao City, Cagayan.

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Page No.
Book No.
Series of 2021

REPUBLIC OF THE PHILIPPINES)


PROVINCE OF CAGAYAN ) S.S
CITY OF TUGUEGARAO )
X- - - - - - - - - - - - - - - - - - - - - - - - X

AFFIDAVIT OF LOSS

I, MONSIE BIZ DAVALOS, of legal age, Filipino citizen, married, and


presently residing at Luga, Sta. Teresita, Cagayan, after being duly sworn,
hereby depose and state:
1. That I was issued a Philippine Passport by the Department of Foreign
Affairs sometime on 1992, however, I can no longer recall the Passport
Number of the said Passport;

2. That sometime on 1994 I placed the said passport together with other
documents inside an envelope and keep it inside a cabinet at my above-
mentioned residence;

3. That sometime on 2000, I looked for the said passport inside the
envelope but the same could not be found;

4. That despite all efforts to find the said passport, I still cannot locate it
and consider it lost;

5. That I am executing this affidavit to attest to the truth of the foregoing


facts and to use the same for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I hereunto affix my signature this 20th day


of April, 2021 at Tuguegarao City, Cagayan.

MONSIE BIZ DAVALOS


Affiant
VIN: 1525-0024B-C0962MBD20000

SUBSCRIBED AND SWORN to before me this 20th day of April, 2021


at Tuguegarao City, Cagayan.

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Book No.
Series of 2021
REPUBLIC OF THE PHILIPPINES)
PROVINCE OF CAGAYAN ) S.S
CITY OF TUGUEGARAO )
X- - - - - - - - - - - - - - - - - - - - - - - - X

AFFIDAVIT OF LOSS

I, , of legal age, Filipino, single, presently residing at Mission, Sta. Teresita,


Cagayan, after being duly sworn, hereby depose and state:
7. That I was issued a Philippine Passport by the Department of Foreign
Affairs with Passport No. P1013702A valid until November 26, 2021;

8. That I placed the said passport inside a brown envelop;

9. That on March 19, 2021 I went at Palawan Pawnshop, Sta. Teresita


Branch;

10.That I brought with me the brown envelop containing my passport to


receive the money sent by my sister;

11.That after receiving the money I went at Sta. Teresita Public Market
to buy some commodities;

12.That when I got home, I discovered that the brown envelop


containing my passport is already missing;
13.That despite all efforts to find the said passport, I still cannot locate it
and consider it lost;

14.That I am executing this affidavit to attest to the truth of the foregoing


facts and to use the same for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I hereunto affix my signature this 23rd day


of March, 2021 at Tuguegarao City, Cagayan.

CAROLYN LORENZO TALOZA


Affiant
VIN: 1525-0029B-L1586CLT20001-2

SUBSCRIBED AND SWORN to before me this 23rd day of March,


2021 at Tuguegarao City, Cagayan.

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