REPUBLIC OF THE PHILIPPINES)

City of Baguio City) S.S.

AFFIDAVIT OF LOSS
I, GLENDA PANAGA OABEL, Filipino citizen of legal age, single,
and presently residing at NPC Compound Abiong, La Trinidad,
Benguet, under oath, states that:
1. I am a PHYSICIAN by profession having earned my medical
degree and graduated from Saint Louis University. As such, I
was issued my DIPLOMA for my medical degree;
2. Recently, as I was going over my personal files and
documents, I noticed that my said DIPLOMA is missing.
Thereafter, I exerted diligent efforts to find the same but my
efforts turned out to be futile. I can only surmise that the said
document was unintentionally misplaced;
3. In view of this circumstance, I now consider my DIPLOMA to
be legally lost and beyond recovery;
4. I also declare that my said DIPLOMA was not confiscated for
any violation of law, rule or any governmental regulation;
5. That I am executing this affidavit to attest to the truth of the
foregoing facts and to request for a replacement of my
DIPLOMA, and for all legal intents and purposes it may serve.
IN WITNESS WHEREOF, I hereby affix my signature this 18th day
of March 2016 at Baguio City.
GLENDA PANAGA OABEL, MD.
Affiant
PRC License no. 121597
Valid until 4 April 2017

SUBSCRIBED AND SWORN to before me this 18th day of March

2016, affiant exhibiting to me his competent proof of identity as
described below his name.

Doc. No.:
Page No.:
Book No.:
Series of 2016.