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Affidavit of Loss: Doc. No. - Page No. - Book No. - Series of
Affidavit of Loss: Doc. No. - Page No. - Book No. - Series of
City of ________________)
AFFIDAVIT OF LOSS
I, ABAQUITA, MARK JHON, Filipino, 15 years of age, with postal address at
Langtad City of Naga, Cebu, after having duly sworn in accordance with law hereby
depose and state:
1. That I am a bonafide student of Placido L. Seor National High School,
Langtad, City of Naga, Cebu.
2. That as such student, was issued a Filipino 9 book (Panitikang Asyano sa
Filipino) for SY 2015-2016.
3. That the said book was in my possession from the time of issuance but
sometime on January 20, 2016, Wednesday or thereabout, the same was lost
and notwithstanding diligent efforts, the same cannot be recovered or found.
4. That I am executing this affidavit to attest the truth and for whatever legal
purpose it may serve.