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Republic of the Philippines)

City of Zamboanga )s.s.


X-----------------------------------X

AFFIDAVIT OF LOSS

I, JONARD DALAGAN GASPAR, of legal age, single, Filipino citizen and a


resident of Alyangan Drive, Mampang, Zamboanga City, Philippines, after having been
duly sworn to in accordance with law, hereby depose and say, that:

1. I am an employee of Microwide Distributor Center with business address at


Tumaga, Zamboanga City and as such I was issued a Company Identification
Card (ID). Said Identification Card was usually kept in my wallet.

2. Some time in the last week of the month of June 2009, due to inadvertence
my wallet got lost including my Identification Card;

3. I exerted diligent efforts to locate and to look for the above-mentioned


Identification Card but the same proved futile;

4. For all intents and purposes, I am now declaring the above-mentioned


Identification Card lost and beyond recovery;

5. I execute this Affidavit to attest to the truth of the foregoing facts based on my
personal knowledge and authentic records and for whatever legal purpose it
may serve.

IN WITNESS WHEREOF, I have hereunto set my hand on this 22 nd day of July


2009 at Zamboanga City, Philippines.

JONARD DALAGAN GASPAR

Affiant

SUBSCRIBED AND SWORN to before me on this 22 nd day of July 2009 in the


City of Zamboanga, Philippines, Affiant exhibited to me his Philippine Health Insurance
Corporation ID bearing No. 19-089691319-4 at Zamboanga City.

GIAN PAOLO U. ENRIQUEZ


NOTARY PUBLIC
Zamboanga City
Until 31 December 2010
Notarial Commission No. 032-2009
Doc. No.____ Door 1, 2nd Floor, LDM Bldg.,Pilar St., Zamboanga City
Page No.____ PTR No. 0013439-01/07/09
Book No. XIII IBP No. 727083-01/07/09
Series of 2009 At Zamboanga City
Roll No. 49871
MCLE Compliance No. II- 0012458-09/09/08

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