I, MEGAN MARIE R. SUBONG, of legal age, Filipino, and a
resident of 20 St., Westwood Subdivision, Dungon C, Mandurriao, Iloilo City, Philippines after having been duly sworn to in accordance with law hereby voluntarily depose and say that:
1. I am a holder of a CERTIFICATE OF REGISTRATION (BOARD
CERTIFICATE) issued by the PROFESSIONAL REGULATION COMMISSION last July 25, 2016; 2. The same certificate declares that I have obtained and passed the qualifications to become a registered Radiologic Technologist; 3. However, sometime last month, I discovered that the said Board Certificate is no longer in the place where I usually keep the same; 4. Despite my diligent search and efforts, I cannot find the said Board Certificate; 5. Henceforth, I consider it as lost and beyond recovery; 6. I am executing this affidavit to the truthfulness of the foregoing. This Affidavit attests for the purpose of obtaining another copy of the said Certificate of Registration or Board Certificate before the Professional Regulation Commission and for any legal purpose(s) it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this
_______________ in the City of Iloilo, Philippines.
MEGAN MARIE R. SUBONG
Affiant PRC I.D. No. 0015669
JURAT
The affiant, whose name and personal circumstances are stated
above, personally appeared before me this ____________ in the City of Iloilo, Philippines, presented the foregoing affidavit, signed the same in my presence and affirmed under oath to the correctness of the contents or allegations of the same. The affiant was identified by competent evidence of identity appearing below his name.