Country Name: (goes here) Purpose of Affidavit: (goes here) Date: (goes here)
I, _______________________________, Citizenship, with legal age _____, and permanent
resident of ___________________, under the law hereby sworn, dispose and state that:
1. My school identity number _________ with issuance from ___________________.
2. On following date ___________________, and following location ________________________, discovered that my school identity card was lost. 3. Even after diligent attempts of search, I could not locate nor find my school identity card and think it is lost truly. 4. Therefore, I am filing this affidavit of loss for all the legal purposes it may serve for the replacement and reissuance of my school identity card.
Signature of Affiant: ________________________________