REPUBLIC OF THE PHILIPPINES )

CITY OF MANDAUE
) S.c.
AFFIDAVIT OF LOSS
I, NOEL A. BAGOL, of legal age, Filipino and a resident of Ocaa,
Carcar City, Cebu, after being sworn to in accordance with law, depose and
say that:
1.
I was previously issued a company ID by Profoods
International, Inc.;
2.
pocket;

I used to keep the above-mentioned evidence of identity in my

3.
Few days ago, while I was on my way to my workplace, I
accidentally left the said ID;
4.
find it;
5.

I tried all efforts to locate the subject ID but I was not able to
The ID is now beyond recovery; and

6.
I am executing this sworn statement, as required, to enable me
to obtain a replacement for the said lost document.
IN WITNESS WHEREOF, I have hereunto set my hand this 03 rd day
of March 2015, in the City of Mandaue, Philippines.

NOEL A. BAGOL
Affiant
JURAT
SUBSCRIBED and sworn to before me, this 03rd day of March 2015,
in the City of Mandaue by affiant with the following competent evidence of
identity:
Evidence of Identity
ID Number
CTM
Manpower 14-100978
Services ID
Doc. No. ___;
Page No. ___;
Book No. ___;
Series of 2015.

Validity Date
March 22, 2015

Issued At
CTM Mandaue
City

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