Republic of the Philippines)

City of Cebu ) S.S

AFFIDAVIT OF LOSS

I, HILLARY M. ACEDO, of legal age, single, Filipino citizen, and a

resident of 165, St. Jude, Hipodromo Cebu City, Philippines, after having
been duly sworn in accordance with law, hereby depose and state:

1. That I was issued with a PRC Identification Card (PRC ID) by the
Professional Regulation Commission (PRC);

2. That the said PRC ID is placed inside my wallet;

3. That on October 20, 2019, my wallet was snatched by an unknown

perpetrator;

4. That despite diligent search and effort and even with the help of
police authorities, I can no longer recover my wallet, including my
PRC ID and other important documents;

5. That said PRC ID has not been confiscated, cancelled, expired nor
revoked by PRC ID or any government agency;

6. As such, I am executing this Affidavit of Loss to attest to the truth

of the foregoing and to support my application for the issuance of
a new PRC ID.

IN WITNESS WHEREOF, I have hereunto affixed my signature this

21st day of October 2019 at Cebu City, Philippines.

HILLARY M. ACEDO
Affiant

SUBSCRIBED AND SWORN TO before me this 21st day of October

2019 at Cebu City, Philippines, affiant exhibiting to me her Company ID
issued by Metro Gaisano-Cebu City, as competent evidence of her identity.

Doc. No. 32 ;
Page No. 6 ;
Book No. II ;
Series of 2019 .