REPUBLIC OF THE PHILIPPINES )

PROVINCE OF BULACAN )S.c

CITY OF MALOLOS )

AFFIDAVIT OF LOSS

I​, ​Madelleine Juwanne B. Reyes​, of legal age, single, Filipino and a

resident of 119 Pag-asa St. Malhacan, Meycauayan City, Bulacan, after having
duly sworn to in accordance with law, hereby depose and state that:

I am a ​bona fide student of Bulacan State University, taking up BS

Accounting Technology with student number 14-111894;

That on January 10, 2018, while walking along the premises of the
University, I found out that said identification card was lost;

Despite diligent effort to look for the same, said I.D is nowbeyond recovery.

I am executing this affidavit to attest the authenticity of the foregoing facts.

IN WITNESS WHEREOF​, I have hereunto set my hand this 13th day of

January, 2017in the City of Malolos, Province of Bulacan.

​ adelleine Juwanne B. Reyes

M
______________________________
Affiant

Subscribed and sworn to before me this ___ day of ____________, 2017

at the City of Malolos, Province ofBulacan. Affiant exhibited to me
his__________________________issued on ______________at
___________________
REPUBLIC OF THE PHILIPPINES )
PROVINCE OF BULACAN )S.c
CITY OF MALOLOS )

AFFIDAVIT OF LOSS

I​, Madelleine Juwanne B. Reyes​,of legal age, single, Filipino and a resident
of 119 Pag-asa St. Malhacan, Meycauayan City, Bulacan, after having duly sworn
to in accordance with law, hereby depose and state that:

I am a ​bona fide student of Bulacan State University, taking up BS

Accounting Technology with student number 14-111894;

That on November 10, 2017, while walking along the premises of the
University, I found out that said identification card was lost;

Despite diligent effort to look for the same, said I.D is now beyond
recovery.

I am executing this affidavit to attest the authenticity of the foregoing facts.

IN WITNESS WHEREOF​, I have hereunto set my hand this 13th day of

January, 2017 in the City of Malolos, Province of Bulacan.

​ adelleine Juwanne B. Reyes

M
______________________________
Affiant

Subscribed and sworn to before me this ___ day of ____________, 2017

at the City of Malolos, Province ofBulacan. Affiant exhibited to me his
__________________________ issued on ______________ at
___________________

REPUBLIC OF THE PHILIPPINES )

PROVINCE OF BULACAN )S.c
CITY OF MALOLOS )

AFFIDAVIT OF LOSS

I​, Madelleine Juwanne B. Reyes​,of legal age, single, Filipino and a resident
of 119 Pag-asa St. Malhacan, Meycauayan City, Bulacan, after having duly sworn
to in accordance with law, hereby depose and state that:

I am a ​bona fide student of Bulacan State University, taking up BS

Accounting Technology with student number 14-111894;

That on November 10, 2017, while walking along the premises of the
University, I found out that said identification card was lost;

Despite diligent effort to look for the same, said I.D is now beyond
recovery.

I am executing this affidavit to attest the authenticity of the foregoing facts.

IN WITNESS WHEREOF​, I have hereunto set my hand this 13th day of

January, 2017 in the City of Malolos, Province of Bulacan.

​ adelleine Juwanne B. Reyes

M
______________________________
Affiant

Subscribed and sworn to before me this ___ day of ____________, 2017

at the City of Malolos, Province ofBulacan. Affiant exhibited to me his
__________________________ issued on ______________ at
___________________

REPUBLIC OF THE PHILIPPINES )

PROVINCE OF BULACAN )S.c
CITY OF MALOLOS )

AFFIDAVIT OF LOSS

I​, Madelleine Juwanne B. Reyes​,of legal age, single, Filipino and a resident
of 119 Pag-asa St. Malhacan, Meycauayan City, Bulacan, after having duly sworn
to in accordance with law, hereby depose and state that:

I am a ​bona fide student of Bulacan State University, taking up BS

Accounting Technology with student number 14-111894;

That on November 10, 2017, while walking along the premises of the
University, I found out that said identification card was lost;

Despite diligent effort to look for the same, said I.D is now beyond
recovery.

I am executing this affidavit to attest the authenticity of the foregoing facts.

IN WITNESS WHEREOF​, I have hereunto set my hand this 13th day of

January, 2017 in the City of Malolos, Province of Bulacan.

​ adelleine Juwanne B. Reyes

M
______________________________
Affiant

Subscribed and sworn to before me this ___ day of ____________, 2017

at the City of Malolos, Province ofBulacan. Affiant exhibited to me his
__________________________ issued on ______________ at
___________________

REPUBLIC OF THE PHILIPPINES )

PROVINCE OF BULACAN )S.c
CITY OF MALOLOS )
 AFFIDAVIT OF LOSS

I​, Madelleine Juwanne B. Reyes​,of legal age, single, Filipino and a resident
of 119 Pag-asa St. Malhacan, Meycauayan City, Bulacan, after having duly sworn
to in accordance with law, hereby depose and state that:

I am a ​bona fide student of Bulacan State University, taking up BS

Accounting Technology with student number 14-111894;

That on November 10, 2017, while walking along the premises of the
University, I found out that said identification card was lost;

Despite diligent effort to look for the same, said I.D is now beyond
recovery.

I am executing this affidavit to attest the authenticity of the foregoing facts.

IN WITNESS WHEREOF​, I have hereunto set my hand this 13th day of

January, 2017 in the City of Malolos, Province of Bulacan.

​ adelleine Juwanne B. Reyes

M
______________________________
Affiant

Subscribed and sworn to before me this ___ day of ____________, 2017

at the City of Malolos, Province ofBulacan. Affiant exhibited to me his
__________________________ issued on ______________ at
___________________