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Carolina D. Escueta, a retired public school teacher and member of the Government Service Insurance System, filed an affidavit of loss stating that her GSIS e-card was misplaced and could not be located after diligent searching. She executed the affidavit to attest to losing her e-card and request reissuance of a new one.
Carolina D. Escueta, a retired public school teacher and member of the Government Service Insurance System, filed an affidavit of loss stating that her GSIS e-card was misplaced and could not be located after diligent searching. She executed the affidavit to attest to losing her e-card and request reissuance of a new one.
Carolina D. Escueta, a retired public school teacher and member of the Government Service Insurance System, filed an affidavit of loss stating that her GSIS e-card was misplaced and could not be located after diligent searching. She executed the affidavit to attest to losing her e-card and request reissuance of a new one.
I, CAROLINA D. ESCUETA, of legal age, Filipino, single and a resident of Gubat,
Sorsogon, after having been duly sworn in accordance with law, hereby depose and say; 1. That I am a retired Public School Teacher and a member of the Government Service Insurance System; 2. That I was issued e-card by GSIS ; 3. That unfortunately said e-card was misplaced and could no longer be located at our residence; 4. That in spite of my diligent efforts to locate said e-card, it proved to no avail; 5. That I am executing this affidavit to attest to the foregoing facts and for the purpose of reissuance in lieu of the lost one. IN WITNESS WHEREOF, I have hereunto affixed my signature this 12 th day of May, 2014 at Sorsogon City.
CAROLINA D. ESCUETA SUBSCRIBED AND SWORN to before me this 12 th Sorsogon City, affiant being personally known to me.