REPUBLIC OF THE PHILIPPINES)

MANILA ) S.S.

AFFIDAVIT OF LOSS

I, ELVIN D. ARGAÑOZA, of legal age, Filipino citizen, with office address

at 1135 D Algeciras St., Sampaloc Manila, after having been duly sworn to in
accordance with law, hereby depose and state;

That I am the holder of HANDBOOK (BLUE BOOK) issued by

CONVERGYS

That on September 2009, the above-mentioned was lost when it was

accidentally misplaced;

That after the diligent effort to locate the same but our effort found futile;

That I am executing this affidavit in order to attest the truth of the

foregoing facts and for all legal intents it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 29 th day of

June 2012 at Manila, Philippines.

ELVIN D. ARGAÑOZA
Affiant

SUBSCRIBED AND SWORN to before me this 29th day of June 2012 at

Manila, Philippines.

Doc. No.: _____________ NOTARY PUBLIC

Page No.: _____________
Book No.: _____________
Series of 2012