Affidavit of Loss (Diploma)

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Republic of the Philippines )

Province of Pangasinan )S.S.


Municipality of San Jacinto)
x---------------------------------------x
AFFIDAVIT OF LOSS
I, MARY A. ESTAYO, of legal age, Filipino Citizen, and with residence
address at Brgy. 1067 Salay, Mangaldan, Pangasinan, after being duly sworn in
accordance with law do hereby depose and state:
1. That I am the owner of the lost High School Diploma, given by my alma
mater (Daniel Maramba National High School) Sta Barbara, Pangasinan
and graduated on March 2004;

2. That sometime in 2022, I discovered that the said High School Diploma
could not be found and believed to have been inadvertently missing;

3. That despite diligent search and efforts to locate the same, I could not
find the same such that I now believe that the said High School Diploma
is lost beyond recovery;

3. That I am executing this Affidavit to attest to the truth of the foregoing


facts and in support of my request for the replacement of his High School
Diploma for all legal intent and purpose.

IN WITNESS WHEREOF, I hereby affix my signature on this 20th day of


March 2023 at San Jacinto, Pangasinan.

MARY A. ESTAYO
Affiant
PRC ID No.: 0513103
Valid until: 06/13/2024

SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and


for San Jacinto, Pangasinan, this 20th day of March 2023. Affiants personally came
and appeared to my office, personally known to me and to me known to be
the same person who personally signed the foregoing instrument before me and
avowed under penalty of law to the whole truth of the contents of said instrument.

ATTY. ANNA MARI E. ABARCAR


Doc No.239; NOTARY PUBLIC
Page No. 49; Until December 31, 2023
Book No. XIV; Roll of Attorney’s No.68056
Series of 2023. PTR No. 9798269/ 03 Jan 23
IBP No. 261088/ 03 Jan 23
Capaoay, San Jacinto, Pangasinan
Republic of the Philippines )
Province of Pangasinan )S.S.
Municipality of San Jacinto)
x---------------------------------------x
AFFIDAVIT OF LOSS
I, MARYBELL J. ESTRADA, of legal age, Filipino Citizen, and with
residence address at Brgy. Guibel, San Jacinto, Pangasinan, after being duly sworn
in accordance with law do hereby depose and state:
1. That I am the owner of the lost High School Diploma, given by my alma
mater (San Jacinto National High School) San Jacinto, Pangasinan and
graduated on March 2004;

2. That sometime in 2022, I discovered that the said High School Diploma
could not be found and believed to have been inadvertently missing;

3. That despite diligent search and efforts to locate the same, I could not
find the same such that I now believe that the said High School Diploma
is lost beyond recovery;

3. That I am executing this Affidavit to attest to the truth of the foregoing


facts and in support of my request for the replacement of his High School
Diploma for all legal intent and purpose.

IN WITNESS WHEREOF, I hereby affix my signature on this 22 nd day of


March 2023 at San Jacinto, Pangasinan.

MARYBELL J. ESTRADA
Affiant

SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and


for San Jacinto, Pangasinan, this 22nd day of March 2023. Affiants personally came
and appeared to my office, personally known to me and to me known to be
the same person who personally signed the foregoing instrument before me and
avowed under penalty of law to the whole truth of the contents of said instrument.

ATTY. ANNA MARI E. ABARCAR


Doc No.256; NOTARY PUBLIC
Page No. 53; Until December 31, 2023
Book No. XIV; Roll of Attorney’s No.68056
Series of 2023. PTR No. 9798269/ 03 Jan 23
IBP No. 261088/ 03 Jan 23
Capaoay, San Jacinto, Pangasinan
Republic of the Philippines )
Province of Pangasinan )S.S.
Municipality of San Jacinto)
x---------------------------------------x
AFFIDAVIT OF LOSS
I, BRION F. DE LEON, of legal age, Filipino Citizen, and with residence
address at Brgy. Guibel, San Jacinto, Pangasinan, after being duly sworn in
accordance with law do hereby depose and state:
1. That I am the owner of the lost High School Diploma, given by my alma
mater (San Jacinto National High School) San Jacinto, Pangasinan and
graduated on March 2004;

2. That sometime in 2022, I discovered that the said High School Diploma
could not be found and believed to have been inadvertently missing;

3. That despite diligent search and efforts to locate the same, I could not
find the same such that I now believe that the said High School Diploma
is lost beyond recovery;

3. That I am executing this Affidavit to attest to the truth of the foregoing


facts and in support of my request for the replacement of his High School
Diploma for all legal intent and purpose.

IN WITNESS WHEREOF, I hereby affix my signature on this 29th day of


March 2023 at San Jacinto, Pangasinan.

BRION F. DE LEON
Affiant

SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and


for San Jacinto, Pangasinan, this 29th day of March 2023. Affiants personally came
and appeared to my office, personally known to me and to me known to be
the same person who personally signed the foregoing instrument before me and
avowed under penalty of law to the whole truth of the contents of said instrument.

ATTY. ANNA MARI E. ABARCAR


Doc No.284; NOTARY PUBLIC
Page No. 58; Until December 31, 2023
Book No. XIV; Roll of Attorney’s No.68056
Series of 2023. PTR No. 9798269/ 03 Jan 23
IBP No. 261088/ 03 Jan 23
Capaoay, San Jacinto, Pangasinan
Republic of the Philippines )
Province of Pangasinan )S.S.
Municipality of San Jacinto)
x---------------------------------------x
AFFIDAVIT OF LOSS
I, AVERY JAVIER, of legal age, Filipino Citizen, and with residence
address at Brgy. Guibel, San Jacinto, Pangasinan, after being duly sworn in
accordance with law do hereby depose and state:
1. That I am the owner of the lost High School Diploma, given by my alma
mater (San Jacinto National High School) San Jacinto, Pangasinan and
graduated on March 2004;

2. That sometime in 2022, I discovered that the said High School Diploma
could not be found and believed to have been inadvertently missing;

3. That despite diligent search and efforts to locate the same, I could not
find the same such that I now believe that the said High School Diploma
is lost beyond recovery;

3. That I am executing this Affidavit to attest to the truth of the foregoing


facts and in support of my request for the replacement of his High School
Diploma for all legal intent and purpose.

IN WITNESS WHEREOF, I hereby affix my signature on this 22 nd day of


March 2023 at San Jacinto, Pangasinan.

AVERY JAVIER
Affiant

SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and


for San Jacinto, Pangasinan, this 22nd day of March 2023. Affiants personally came
and appeared to my office, personally known to me and to me known to be
the same person who personally signed the foregoing instrument before me and
avowed under penalty of law to the whole truth of the contents of said instrument.

ATTY. ANNA MARI E. ABARCAR


Doc No.251; NOTARY PUBLIC
Page No. 52 ; Until December 31, 2023
Book No. XIV; Roll of Attorney’s No.68056
Series of 2023. PTR No. 9798269/ 03 Jan 23
IBP No. 261088/ 03 Jan 23
Capaoay, San Jacinto, Pangasinan

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