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REPUBLIC OF THE PHILIPPINES)

) S.S.

AFFIDAVIT OF LOSS

That I, ROBERTSON S. CHIANG, of legal age, Filipino Citizen, and a President of


DRAGONPAY CORPORATION and with business address located at #2F BLUEWAVE
MARQUINTON MALL, COR. GIL FERNANDO AVE., SUMULONG HIGHWAY, STO.
NIÑO MARIKINA CITY, after having been duly sworn to in accordance with law do hereby
depose and say:

That I am the holder of CERTIFICATE OF REGISTRATION (BIR 2303), ASK


FOR RECEIPT, BIR REGISTRATION and BUSINESS PLATE issued by: BIR

That sometime on ________________________ the said CERTIFICATE OF


REGISTRATION (BIR 2303), ASK FOR RECEIPT, BIR REGISTRATION and
BUSINESS PLATE was lost, due to unexpected circumstances;

That diligent effort was exerted to locate the same but it yielded a negative result:

That I am executing this affidavit of loss to attest the truth of the foregoing facts and
for reporting/for replacement/ and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


_____________________________, ______________________, Philippines

ROBERTSON S. CHIANG
Affiant

SUBSCRIBED AND SWORN to before me this___________________ affiant


exhibiting to me his/ her CTC No. __________________ issued on ______________ at
_____________ Philippines.

Doc No. ________


Page No. ________
Book No. ________ Notary public
Series of 2019

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