AFFIDAVIT OF LOSS (PRC ID)

 REPUBLIC OF THE PHILIPPINES)

_________________________________) S. S.

 

 

AFFIDAVIT OF LOSS

 

I, _____________________________, of legal age, single, Filipino, and currently residing at ___________________________________, after being sworn in accordance with law, hereby depose and state that:

 

1.     I am the owner of Professional Regulatory Commission Identification Card (PRC ID) with License No. 0000000 issued by the Board of Psychometrician.

2.     The last time I used the said PRC ID is during my bank transaction with BDO Estancia Pasig Branch on 15 January 2021.

3.     Sometime last week, I noticed that the said ID is no longer in my possession.

4.     I called  Estancia Pasig  to inquire as to whether there is an ID left thereat under my name but they answer was in the negative.

5.     I exerted diligent efforts to find and/or locate the same, but the same was proven futile;

6.     As such, I believe that the PRC ID with License No. 0000000 is now lost and beyond recovery;

7.     I am executing this affidavit to attest the veracity of all the above facts, and to request the issuance of PRC ID with License No. 0000000 anew.

 

IN WITNESS WHEREOF, I have here unto set my hand this ___________ day of ____________________ at _____________________.

 

 

                   __________________________________

Affiant

 

 

SUBSCRIBED AND SWORN to before me this ________________ day of _____________________________. Affiant exhibited to me her ________________________ as a proof of her identification.

 

 

NOTARY PUBLIC

 

Doc. No. ______;

Page No. ______;

Book No. ______;

Series of ______.