How to Write an Affidavit of Loss for a Missing PRC Claim Stub Form
If you are a professional who has passed the licensure examination conducted by the Professional Regulation Commission (PRC) in the Philippines, you will need to claim your PRC ID card from the PRC office where you filed your application. However, before you can claim your PRC ID card, you will need to present your PRC claim stub form, which is a small piece of paper that contains your name, profession, registration number, and date of issuance.
How to Fill Out an Affidavit of Loss for a Missing PRC Claim Stub
But what if you lose your PRC claim stub form? How can you claim your PRC ID card without it? Dont worry, there is a way to solve this problem. You will need to write an affidavit of loss for your missing PRC claim stub form and submit it to the PRC office along with other requirements. An affidavit of loss is a legal document that states the facts and circumstances of how you lost your PRC claim stub form and that you are requesting for a replacement.
In this article, we will guide you on how to write an affidavit of loss for your missing PRC claim stub form. We will also provide you with a sample affidavit of loss that you can use as a reference.
Steps to Write an Affidavit of Loss for a Missing PRC Claim Stub Form
Prepare the necessary information. You will need to have the following information ready before you write your affidavit of loss:
Your full name, age, citizenship, civil status, and address
Your profession and registration number
The date and place where you took the licensure examination
The date and place where you received your PRC claim stub form
The details of how you lost your PRC claim stub form (when, where, how, and why)
Your request for a replacement of your PRC claim stub form
Write the heading of your affidavit of loss. The heading should include the following elements:
The words Republic of the Philippines
The name of the province, city, or municipality where you are executing your affidavit of loss
The words Affidavit of Loss
Write the body of your affidavit of loss. The body should consist of numbered paragraphs that state the following facts:
Your personal information (name, age, citizenship, civil status, and address)
Your profession and registration number
The date and place where you took the licensure examination
The date and place where you received your PRC claim stub form
The details of how you lost your PRC claim stub form (when, where, how, and why)
Your request for a replacement of your PRC claim stub form
Your affirmation that everything you stated in your affidavit of loss is true and correct
Write the closing of your affidavit of loss. The closing should include the following elements:
Your signature over your printed name
The date and place where you executed your affidavit of loss
A jurat or an acknowledgment that states that you personally appeared before a notary public who administered an oath or affirmation to you and verified your identity and signature
The signature and seal of the notary public
Sample Affidavit of Loss for a Missing PRC Claim Stub Form
Republic of the Philippines)
Province of Laguna) S.S.
City/Municipality of Calamba)
AFFIDAVIT OF LOSS
I, JUAN DELA CRUZ, Filipino citizen, 25 years old, single, and a resident
of Barangay Real, Calamba City, Laguna, after having been duly sworn
in accordance with law hereby depose and state:
That I am a registered nurse with Registration No. 123456 issued by
the Professional Regulation Commission (PRC) on June 30, 2020.
That I took the Nurse Licensure Examination on June 1-2, 202
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