_________________________________) S. S.
AFFIDAVIT OF LOSS
I, MANANG BIDAY B. BIDAY, of legal age, single, Filipino, and
currently residing at Bahay Kubo Kahit Munti, Ang halaman doon ay Sari-Sari, Philippines, after being sworn in accordance
with law, hereby depose and state that:
1.
I am the owner of Sim Card with No. 099500000000.
2.
I used the Sim Card No. 099500000000 to register my
old account in Gcash.
3.
Sometime on January 22, 2021, my cellular phone
where my Gcash application was installed using the sim card, was lost inside
our house.
4. On the date my phone was stolen, my old Gcash
account has a remaining balance of approximately Php8,000.00 plus.
5.
I exerted diligent efforts to find and/or locate
the same, including reviewing the CCTV Footage, but the same was proven futile;
6. As such, I believe that the Sim Card with No. 099500000000 is now lost and beyond recovery;
7. I am executing this affidavit to attest the
veracity of all the above facts, and to request that the remaining balance in
my old GCash account in the amount of approximately Php8,000.00 plus using my
lost Sim Card with No. 099500000000 be transferred to my new Gcash account.
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 ______.
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