7/26/2019 Affidavit of Loss ID Jeyeth Almodiel

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REPUBLIC OF THE PHILIPPINES)

CITY OF MANDAUE ) S.S.

AFFIDAVIT OF LOSS

I,JEYETH C. ALMODIEL, of legal age, Filipino, single, and a resident of

Mantuyong, Mandaue City after having been duly sworn to in accordance with law,

hereby depose and state that:

1.I am a student of Mandaue City College taking up the course of Bachelor of

Science in Business Administration major in Entrepreneurial Management;

2.I was issued an I.D. of the above-mentioned school and the number of which

I do not remember;

3.Sometime on or before March 19, 2016, a fire broke near my residence at

Mantuyong, Mandaue City which subsequently affected my house;

4.The said I.D. issued by the above-mentioned school was lost and burned by

the fire;

5.Earnest efforts were made to locate the aforementioned I.D. but to no avail,

thus, the same is considered lost for all intents;

6.I am executing this affidavit to attest to the veracity of the foregoing

statements, and for enrollment process in the above-mentioned school and

for the re-issuance of the said I.D. and for whatever legal purposes it may

serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 6thday of

June 2016 at Mandaue City, Philippines.

JEYETH C. ALMODIEL

Community Tax Certificate No. 12650350

Affiant

SUBSCRIBED AND SWORN TO before me this 6thday of June 2016 at Mandaue

City, Philippines, affiant being personally known to me and exhibiting her Community

Tax Certificate with No. 12650350 as competent evidence of identity.

Doc No. ________

7/26/2019 Affidavit of Loss ID Jeyeth Almodiel

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Page No. _______

Book No._______

Series of 2016.