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REPUBLIC OF THE PHILIPPINES)

PROVINCE OF MAGUINDANAO)
CITY OF COTABATO )

AFFIDAVIT OF LOSS

I, FARIDA GUIALIL KAMID, of legal age, Filipino, single and a


resident of 165 Don Rufino Alonzo Street, Cotabato City, after being
duly sworn to in accordance with law hereby depose and say that:

1. That I am a holder of the CERTIFICATE OF REGISTRATION


issued by BUREAU OF INTERNAL REVENUE (BIR);

2. That I used to put the said CERTIFICATE OF REGISTRATION


in my cabinet at our office;

3. That sometime on APRIL 2023 at the Cotabato City, I discov-


ered that my CERTIFICATE OF REGISTRATION was no longer
in my possession;

4. That, I tried my best to locate the same but my efforts were in


vain;

5. That, I consider the said CERTIFICATE OF REGISTRATION as


lost for all legal intent and purposes;

6. That, I am executing this affidavit to attest to the truth of all


the foregoing facts and to apply for the issuance of my CER-
TIFICATE OF REGISTRATION.

IN WITNESS WHEREOF, I have hereunto set my hand this MAY


24, 2024 at Cotabato City, Philippines.

FARIDA GUIALIL KAMID


Affiant ID Type/No:

SUBSCRIBED AND SWORN TO before me this MAY 24, 2024 at


COTABATO CITY. The affiant personally appeared before me present-
ing her identification card as indicated above.

WITNESS MY HAND AND SEAL.

Doc. No.
Page No.
Book No.
Series of 2024

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