Republic of the Philippines)

City of Baguio )s.s.

AFFIDAVIT OF LOSS

I, ELMER O. DATUIN, of legal age, married, Filipino citizen and a resident of No.7
Ambiong, Aurora Hill, Baguio City, after having been duly sworn to in accordance
with law, hereby depose and state:

1. That I was issued a Certificate of Registration by the Bureau of Internal

Revenue sometime in 2008. However, said Certificate of Registration is
missing and could have been misplaced during our transfer of office;

2. That despite diligent efforts to locate the missing Certificate of Registration,

the same could no longer be located which is now considered lost and
beyond recovery;

3. That I am executing this Affidavit of Loss to attest to the veracity of the

foregoing statement and to support my application for the issuance of new
Certificate of Registration in lieu of the one that was lost and change of
office address from Castella Monte Condominium to Jose Miguel Bldg. 1;

4. That I am executing this affidavit to attest to the truthfulness of the foregoing

facts and for all legal intents and purposes it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this ___ day of August
2019 at Baguio City, Philippines.

ELMER O. DATUIN
Affiant
CTC No. 28975207
Issued on 3/14/2019 at Baguio City

BEFORE ME a Notary Public in and for the City of Baguio, this ___ day of
August 2019, personally appeared the affiant, known to me and identified by me
through competent evidence of identity. He presented this integrally complete
instrument representing to me that his signature on the same instrument was
voluntarily affixed by him in my presence for the purpose stated and that he
executed the same as his free voluntary act and deed.