REPUBLIC OF THE PHILIPPINES)

DONE: BAGUIO CITY

) S.S.
AFFIDAVIT OF LOSS
I, DREVELYN P. MATIAS, of legal age, single, Filipino citizen, with
residence and postal address at Manaba, Bulalacao, Mankayan, Benguet,
after having been duly sworn to in accordance with law do hereby depose
and state that:
1 I am a holder of a RELEASED/TERMINATION LETTER issued by Hong
Kong Government;
2 Said Released/Termination Letter was issued to me when I asked the
Hong Kong Government to terminate me. However, said
Released/Termination Letter was lost/missing since December 10,
2013. The folder containing the said Released/Termination Letter
was misplaced, either in our house or in my boarding house;
3 I exerted diligent efforts to locate the said RELEASED/TERMINATION
LETTER but the same could no longer be found and hence
considered forever lost;
4 Said RELEASED/TERMINATION LETTER was never given nor pledged
to anyone for any purpose whatsoever, nor was it taken or
confiscated by the authorities for any violation of the law;
5 I am executing this affidavit to attest to the veracity and
truthfulness of my foregoing statements and for other lawful intents
and purposes it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this 26 th day of
February, 2015 at Baguio City, Philippines.

DREVELYN P. MATIAS
Affiant
SUBSCRIBED AND SWORN To before me this 26th day of February,
2015 at Baguio City, Philippines. Affiant personally appeared before me and
represented to me herself as the same person who executed and signed this
instrument in my presence as her free act and deed.

MODESTO T. ANDONG
Notary Public
Commission No. 30-NC-14-R/Until: December 31, 2015
PTR No. 2010843/1-05-15/Baguio City
IBP No. 0980515/1-05-15/Baguio-Benguet Chapter
Roll No. 31289/5-15-81/Manila

MCLE COMPLIANCE No. V-0002709/July 3, 2014

Community Tax Certificate Number 15051806
Issued On: January 5, 2015
Issued At: Baguio City
No. 13-B, 2nd Floor Old Market Bldg.,
Magsaysay Ave., Baguio City, Philippines
Doc. No. 256;Page No. 52;
Book No. 11;Series of 2015.