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Republic of the Philippines) S.S.

City of Zamboanga )
x------------x
AFFIDAVIT OF LOSS

I, April Rose K. Marcial, Filipino, of legal age, single and a resident of


Goodyear Kabasalan, Zamboanga Sibugay, Philippines, after being sworn to in
accordance with law, depose and state that:
1. I am a holder of a school I.D of Ebenezer Bible College and Seminary;
2. Sometime on 11 January 2020,when I arrived at home, I discovered that
my I.D was no longer in my possession;

3. Diligent efforts to locate the same were rendered futile;


4. I execute this affidavit to attest to the truth of the foregoing and to
support my application for a new school I.D and for whatever legal
purposes it may serve.

IN TRUTH WHEREOF, I have hereunto set my hand this 27 th day of January


2020 at Zamboanga City, Philippines.

April Rose K. Marcial


Affiant

SUBSCRIBED AND SWORN to before me this 27 th day of January 2020 at


Zamboanga City, Philippines. Affiant exhibited to me as her valid proof of identity,
UMID bearing CRN–0113- 0458581-9, issued at Ipil, Zamboanga Sibugay.

Doc. No. 20; JOHN JASON N. ALBRECHT


Page No. 11; NOTARY PUBLIC
RD
Book No. 02; 3 Level, Edificio Coastal
Series of 2020; Corcuera Street, Zamboanga City
P.T.R No. 2037318, 06 Jan. 2020, Z.C
Roll of Attorney’s No. 67102
I.B.P O.R No. 103050, 03 Jan. 2020, ZC
Notarial Commission No. 40-2019

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