Republic of the Philippines)
Province of_________________) S.S.
City/Municipality of____________)
AFFIDAVIT OF LOSSI,______姓名拼音______, Chinese, of legal age and a resident of ________住址____, Philippines, afterbeing duly sworn in accordance with law, depose and state:
That I am a regular user of a Globe Mobile SIM Card with No.______你要补的手机号码_______;
(以下蓝色字体为阐述原因案例,被野孩子揩去了,可根据实际情况更改)
That in the afternoon of ____日期_____, I brought my cellular phone in my pocket with the said SIM Card and walking along Buendia St.,;
Then I encountered some street kids begging for money,after they left I discovered that my cellular phone was missing together with my said Mobile SIM Card which was inside the said cellular phone;
That despite diligent search and efforts to locate said cellular phone, I could not find the same such that I now believe that said is now lost beyond recovery together with the aforesaid SIM Card;
As such, I am executing this Affidavit of Loss to attest to the truth of the foregoing and insupport of my request for the replacement of the said SIM Card.
IN WITNESS WHEREOF, I have hereunto set my hand this__宣誓日期____at_____宣誓地点_______, Philippines.