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Republic of The Philippines) - , - ) S.S
Republic of The Philippines) - , - ) S.S
____________,____________ ) S.S
2. I have recently discovered that the said Driver’s license is irretrievably lost and
can no longer be found despite diligent efforts to locate the same;
__________________
Affiant
SUBSCRIBED and SWORN TO before me on the date and at the place indicated
below. The affiant exhibited to me her competent evidence of identity as indicated
above.
Notary Public
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