REPUBLIC OF THE PHILIPPINES)

TARLAC CITY ) S.S.

AFFIDAVIT OF LOSS

I, DAN ANGELO G. DUCO , of legal age, Filipino, single, with residence at

Sta. Maria, Moncada, Tarlac, after having been sworn to in accordance with law hereby
depose and say that:

1. I am a Licensed Professional Teacher employed at St. Vincent School

Foundation Inc., Tarlac City;

2. As such, I am a holder of a Professional Regulation Commissions (PRC) ID

issued by the Professional Regulations Commission, Manila;

3. Said PRC ID is always kept inside my wallet;

4. On 26 August 2021, I was surprised to find out that my wallet was gone.

5. My wallet, containing my PRC ID, must have fallen on my way to school as

when I reached our institution and look for my wallet, the same could no longer
be found.

6. I took earnest efforts to look for my wallet and even went back to the gas station
where I remember was the last place I took it out and further went to my way to
office where the same must have fallen but to no avail, hence given up as lost;

7. I execute this affidavit to attest to the truthfulness and veracity of the foregoing
facts, and for the purpose of securing another PRC ID, and for whatever purpose
it may serve.

IN WITNESS WHEREOF, I have hereunto signed my name this ____ day of

April 2021 in Tarlac City, Philippines.

DAN ANGELO G. DUCO

Affiant

      SUBSCRIBED AND SWORN to before me this _____ day of April 2021

in Tarlac City Philippines. Affiant exhibited to me his competent evidence of identity as
__________________.

Notary Public

Doc. No____;
Page No. ___;
Book No. ___;
Series of 2021.