October 29, 2018

Monday

AFFIDAVIT OF LOSS

I, CHRISTINE G. GAUGANO , Filipino, of legal age, (single / married), and a resident of

Sitio Pugad Lawin, Almanza Dos, Las Piñas City, after being duly sworn in accordance with
law, depose and state:

That as a bona-fide student of Dr. Filemon C. Aguilar Memorial College, I was issued a
Student Identification/Registration Card No.2018-0573;

That to my surprise, I discovered last Friday that the said Registration Card could not be found;

As all efforts to find the same proved unrewarding, it is now safe to conclude that recovery of the
same is an impossibility;

Thus, I execute this affidavit to establish its loss and to support my application for the issuance
of a new Registration Card.

Affiant

CHRISTINE G. GAUGANO

(Signature over Printed Name)

Guardian

TITA G. GAUGANO

(Signature over Printed Name)