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AFFIDAVIT OF OWNERSHIP WITH

 

 

UNDERTAKING

 

 

BASIC PHILIPPINE LEGAL FORMS

 

     

         

REPUBLIC OF THE PHILIPPINES)

CITY       OF    ________                )SS.

X - - - - - - - - - - - - - - - - - - - - - - - X

 

AFFIDAVIT  OF  OWNERSHIP WITH UNDERTAKING

 

 

            I,  JUAN DE LA CRUZ,   of  legal age, Filipino, single and a resident  of Pasig City, Philippines  after having been duly sworn to in accordance with law hereby depose and say that:

 

1.                  I am  the absolute and legal owner of  a GSM handset described as follows:

 

Example:

Make/Model:       NOKIA 6630 A. Grey

International Mobile Equipment Identification (IMEI):  354350003717668l

 

2.                  On November 21, 2005, I executed an Affidavit of Ownership and Loss with Undertaking and filed the same with the National Telecommunication Commission to authorize said commission and all CMTS to block the said GSM handset for the reason that said cellphone was stolen from me by unidentified person/s;

 

3.                  However, on January 9, 2006, I was able to retrieve said GSM handset through a common friend;

 

4.                  I hereby request/authorize the National Telecommunication Commission and all CMTS carriers to unblock the said GSM Handset;

 

5.                  I hereby undertake to hold free from any responsibility or shall not hold NTC and the above-mentioned carriers liable for whatever claims, loss or damages or any party may institute by reason of NTC’s action to unblock the afore-mentioned unit;

 

6.                  In support of this request and as proof of my ownership of said cellphone unit, I attached hereto a photocopy of the following documents:

 

A.                 Social Security System Identification Card Number ________

B.                 Professional Driver’s License No. ___________

C.                 Employment Identification Card

D.                 Police Report

 

7.                  I am executing this affidavit to attest to the truth of the foregoing facts .

 

          IN WITNESS WHEREOF, I have hereunto set my  hand this 13th day of January 2006 at  Pasig City, Philippines.

 

 

                                                                                JUAN DELA CRUZ

                                                                                          Affiant 

 

            SUBSCRIBED AND SWORN to before me this January 13, 2006  at  Pasig City, Philippines, affiant exhibited to me his Community Tax Certificate No. 1111111 issued at  Pasig City on January 13,2006 .

 

 

Doc. No. ________;

 

Page No. ________;

 

Book No. _______ ;

 

Series of   2006.

 

 

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