REPUBLIC OF THE PHILIPPINES)
CITY OF CEBU
) S.S.
AFFIDAVIT OF LOSS
I, ELDEE R. BALOLONG, Filipino, of legal age, single and a resident of 203
C. Padilla St., Cebu City, Philippines, after having been duly sworn to in
accordance with law, do hereby depose and say; THAT:
That I am the holder of BDO CASH CARD RECEIPT issued to me by BDO
INSULAR AYALA CEBU BRANCH;
That the said BDO CASH CARD RECEIPT was lost due to misplaced from
my possession without my knowledge;
That despite diligent efforts exerted in order to save the said BDO
CASH CARD RECEIPT the same could no longer be recovered;
That I am executing this affidavit in order to attest to the truth of the
foregoing statements and for whatever legal purpose this may serve;
FURTHER AFFIANT SAYETH NONE.
IN WITNESS WHEREOF, I have hereunto set my hand this 28 th day of April
2016, at Cebu City, Philippines.
SUBSCRIBED AND SWORN to before me this 28th day of January
2016 at Cebu City Philippines.
Doc. No. ___;
Page No. ___;
Book No. ___;
Series of 2016.