Professional Documents
Culture Documents
F-OSSW-2601 Affidavit of Loss
F-OSSW-2601 Affidavit of Loss
AFFIDAVIT OF LOSS
Name:
___________________________________________________________
_________________________
Year: ________ Course: __________________ College: ____________________
________________
ID
Date
No.:
of
loss:
I, whose name appears above, do hereby declare that I lost my University Student ID Card
and am unable to locate it despite my greatest effort.
_________________________________
Name and Signature of Student
___________________
Date Signed
I hereby attest that the student whose name appears above is a bona fide student enrolled
in the College:
________________________________
College Dean
Noted:
EDITHA S. PAGULAYAN, D.P.A.
Director, Student Services and Welfare
F-OSSW-2601