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Affidavit of Loss (Birth Certificate) SCRBD

Jose Manalo, a Filipino resident, declares in an affidavit that he has lost his birth certificate and has been unable to obtain a certified true copy from the Local Civil Registry of Manila. He provides supporting documents, including a school certification and a baptism certificate, to prove his birth. The affidavit is executed to facilitate the process of obtaining a new copy of his birth certificate.

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Yssa Ramos
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15 views1 page

Affidavit of Loss (Birth Certificate) SCRBD

Jose Manalo, a Filipino resident, declares in an affidavit that he has lost his birth certificate and has been unable to obtain a certified true copy from the Local Civil Registry of Manila. He provides supporting documents, including a school certification and a baptism certificate, to prove his birth. The affidavit is executed to facilitate the process of obtaining a new copy of his birth certificate.

Uploaded by

Yssa Ramos
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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REPUBLIC OF THE PHILIPPINES)

________________________________)S.S.

AFFIDAVIT OF LOSS

I, JOSE MANALO, of legal age, Filipino, and a resident of 123


Sampaloc, Manila, after being duly sworn according to law, hereby depose
and say that:

1. I am the person named in the records of the Local Civil Registrar of


Manila, as having been born on February 20, 1952 at Tondo, Manila;

2. I am the child of Juan Manalo and Josephine Manalo;

3. I have been trying to secure a certified true copy of my birth certificate


from the Local Civil Registry of Manila but despite my efforts, I was
informed that no copy of my birth certificate could be found in their
files;

4. Despite diligent inquiries and efforts made with the Local Civil Registry,
it appears that my birth certificate has been lost;

5. As proof of my birth, I am submitting the following documents:

a. A Certification from [Elementary School] attesting to my


enrollment and date of birth;

b. A Certificate of Baptism issued by Santo Niño De Tondo Parish,


which contains my birth date and other relevant details;

6. I am executing this affidavit to attest to the foregoing facts and to


facilitate the process of obtaining a copy of my certificate of live birth.

IN WITNESS WHEREOF, I have hereunto set my hand this


_________________ at ___________________.

JOSE MANALO
Affiant

SUBSRCIBED AND SWORN to before me this __________________ at


_______________, affiant exhibiting to me his Driver’s License bearing his
name, photograph and signature with License No. 12345, expiring on
2033/02/20, as competent evidence of his identity.

Doc No. ______; NOTARY PUBLIC


Page No. _____;
Book No. _____;
Series of 2025.

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