Republic of the Philippines)

City of Davao )S.S.

x------------------------------------x

AFFIDAVIT OF LOSS
I, JULIAN M. BAGUIO, of legal age, Filipino, single, and a
resident of 2-A, Mt. Apo cor. Arellano St., Davao City, after
having been duly sworn in accordance with law, hereby depose
and say that:

1. I am the person whose personal circumstances are

described in this affidavit;

2. Sometime on May 15, 2019, I received my school report

card in Grade 11 at Ateneo de Davao Senior High School.
However, sometime in the month of September 2019,
said report card was unfortunately lost while our house
help was cleaning our house;

3. I exerted due diligence and persistent efforts in locating

said report card but to no avail and I now consider the
same as irretrievably lost;

4. I am executing this Affidavit to attest to the truth and

veracity of all the foregoing and to use the same for
whatever legal purpose it may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my

signature this _______________ at Davao City, Philippines.

JULIAN M. BAGUIO
Affiant

SUBSCRIBED AND SWORN to before me this

_______________ at Davao City, Philippines. Affiant, for
purposes of identity, exhibited to me his Student I.D. No.
304363140010. SSS UMID I.D No. 0111-7315031-0.

Doc No. ___;

Page No. ___;
Book No. ___;
Series of 2020.