REPUBLIC OF THE PHILIPPINES)

City of Manila) S.S.

AFFIDAVIT OF LOSS

I, SOBAIR P. DISOMIMBA, Filipino, of legal age, single, and a resident of Caloocan City,
after having been duly sworn in accordance with law, hereby depose and say:
1. That I am the owner of a Postal I.D. issued by the Philippine Postal Corporation
bearing the name “Sobair P. Disomimba”;
2. That I lost said Postal I.D. and that I exerted all efforts to locate the same but I could no
longer find it and it is considered lost for all legal purposes;
3. That said Postal I.D. was not confiscated by any officer of the law by reason of any
violation of law, ordinance, or presidential decree and neither was it offered as
collateral for any loan;

4. That I am executing this affidavit to attest to the truth of the foregoing facts and to
support my application for a new Postal I.D. and for whatever legal purpose it may
serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 22 nd day of April 2021
at Manila, Philippines.

Sobair P. Disomimba
Affiant

SUBSCRIBED AND SWORN TO before me at the place and date above stated. I hereby
certify that I personally examined the affiant and am convinced that s/he voluntarily executed the
foregoing affidavit, read the same and understood its contents.

WITNESS MY HAND AND NOTARIAL SEAL

Doc. No. 119

Page No. 24
Book No. II
Series of 2021.