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Republic of The Philippines) City of Cebu) S.C
Republic of The Philippines) City of Cebu) S.C
Republic of The Philippines) City of Cebu) S.C
AFFIDAVIT OF LOSS I, Jonathan Yangyang, of legal age, single, Filipino and residing at ________________________, after being sworn to in accordance with law, depose and say that: 1. I was previously issued a Student Identification ard of the !niversity of ebu " #anilad a$pus% &. I used to 'eep the above($entioned Identification docu$ents in $y wallet% ard and other i$portant
). *ast +th day of ,ece$ber &-1), I left the said evidence of identity in .all, #anilad, ebu ity% /. find it% 0. 1he said evidence of identity is now beyond recovery% and
ountry
I tried all efforts to locate the $isplaced Identification ard but I was not able to
2. I a$ e3ecuting this sworn state$ent, as re4uired, to enable $e to obtain a replace$ent for that lost card. I5 6I157SS 68797:F, I have hereunto set $y hand this ___ day of __________, &-1/, in the ity of ebu, ;hilippines.
J:5<18<5 *. Y<5Y<5= Affiant JURAT S!#S 9I#7, and S6:95 to before $e, this ___ day of __________, in the ity of ebu co$plainant showing to $e his __________________ with I, 5u$ber __________ issued at __________________ on _________ as his co$petent evidence of identity.
,oc. 5o. ___% ;age 5o. ___% #oo' 5o. ___% Series of &-1/.
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