REPUBLIC OF THE PHILIPPINES)

) S.S

AFFIDAVIT OF LOSS

I, NOEL M. PANDAC, of legal age, married, and with residence at 96 Kaliraya St.,
Brgy.Tatalon, Quezon City, Philippines, after being duly sworn to in accordance with law,
hereby depose and state that:

1. I am an employee of Mundo Builders Inc., as such I was issued an Employee ID.

2. On February 9, 2023, on my way home, I discovered that my ID in Solaire North Project

has fallen off in my bag.

3. That despite diligent search and effort to locate the above-mentioned Employee ID, I
could not find the same such that I now believe that it is now lost beyond recovery;

4. I execute this affidavit to attest to the truth of the foregoing, and to secure another
employee ID, and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this _____________, in the City of
_____________, Philippines.

Affiant

SUBSCRIBED AND SWORN to before me this __ day of ________________ 2023 in

__________________________. Affiant’s exhibited to me his _______________________with
No. ____________________as his valid proof of identification.
NOTARY PUBLIC
Doc No. ;
Page No. ;
Book No. ;
Series of 2023