REPUBLIC OF THE PHILIPPINES )
_______________________________, _______________________________ ) S.S.
AFFIDAVIT OF LOSS
I, ________, with the following nationality: Filipino, of legal age, and residing at: ________, after having been sworn according to law, hereby depose and state that:
1. I am the owner of a school ID with student no. ________ issued by ________.
2. On or about ________, I discovered the loss of the said school ID. I discovered the loss of the said under the following circumstances:
________
3. Despite diligent efforts, the same could not be found nor located and it is believed that the same is truly lost.
4. I am executing this affidavit for whatever legal purpose it may serve and to request for a replacement of the said school ID.
Lorem ipsum dolor sit amet consectetur adipiscing elit sed do eiusmod tempor incididunt ut labore et dolore magna aliqua ut enim ad minim veniam quis nostrud exercitation.
IN WITNESS WHEREOF, I have hereunto set my hand this _________ day of ______________________, 20______ at _______________________________, Philippines.
________
Affiant
Lorem ipsum dolor sit amet consectetur adipiscing elit sed do eiusmod tempor incididunt ut labore et dolore magna aliqua ut enim ad.
Affiant, ________ personally appeared before me and exhibited to me the following competent proof of identity: _______________________________________.
Doc. No.: _________;
Page No.: _________;
Book No.: _________;
Series of _________.