8/18/2019 160018644 Affidavit of Loss

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REPUBLIC OF THE PHILIPPINES )CITY OF MANILA )SS.

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AFFIDAVIT OF LOSS 

I, Marife S. dela Cru, Fili!i"#, #f le$al a$e, %i"$le a"d a re%ide"& #f ''( Ba*a"$ +ul# B#aue Bulaa" Pili!!i"e%, af&er ai"$ dul/ %0#r" i"

a#rda"e 0i& la0, ere*/ de!#%e a"d %a/ &a&1

 2. I a &e #lder #f a Subscriber Identity Module (SIM) Card Nu*er

3(2425('665 i%%ued */ 7l#*e Tele#8 

5. I l#%& %aid SIM ard #" A!ril 2(, 532' a"d &a& I e9er&ed all

eff#r&% l#a&e &e %ae *u& I #uld "#& ree*er e9a&l/ 0ere I!laed:lef& i& a"d i& i% #"%idered l#%& f#r all le$al !ur!#%e%8

 ;. Said SIM Card 0a% "#& #"fi%a&ed */ a"/ #ffier #f &e la0 */

rea%#" #f a"/ i#la&i#" #f a"/ la0, #rdi"a"e, !re%ide"&ial deree #rrule% a"d re$ula&i#" #f a"/&i"$8 a"d "ei&er 0a% i& #ffered a%

#lla&eral f#r a"/ l#a"8

 >>>>>>>>>>>>> i" &e Ci&/ #f >>>>>>>>>>>, Pili!!i"e%. 

Marife S. dela Cru Affia"&

 

SUBSCRIBE+ AN+ S=ORN *ef#re e &i% >>>>>>>>>>>>>>> i" &e

Ci&/ #f >>>>>>>>>>>> Pili!!i"e%, affia"& ai"$ e9i*i&ed eer #u"i&/ &a9 er&ifia&e 0i& "#. >>>>>>>>>>>>>>> i%%ued #"

 >>>>>>>>>>>>>> a& >>>>>>>>>>>>>. +#. N#.>>>>8

Pa$e N#.>>>>8B##? N#.>>>>8

Serie% #f 532'.