REPUBLIC OF THE

PHILIPPINES )
CITY OF QUEZON ) S.S.
AFFIDAVIT OF LOSS
I, Adrian P. Mangaoang, Filipino,
of legal age, single and a resident
of 14B Ledesma Court, Culiat,
Tandang Sora, Quezon City, after
having duly sworn to in
accordance with law, hereby
depose and say
that:
1. I am a holder of a Certified
Public Accountant Identification
Card issued by Professional
Regulation
Commission;
2. I lost said Identification Card
on May 10, 2011 and that I exerted
all efforts to locate the same but I
could not remember exactly where
I placed it and it is considered lost
for all legal purposes;
3. Said Identification Card was
not confiscated by any officer of
the law by reason of any violation
of
any law, ordinance, presidential
decree or rules and regulation of
the said Commission; and
neither was it offered as collateral
for any loan;
I am executing this affidavit to
attest to the foregoing facts;
IN WITNESS WHEREOF, I have
hereunto set my hand this 13
th
of May in the City of Quezon,
Philippines.
ADRIAN P. MANGAOANG
Affiant
SUBSCRIBED AND SWORN to
before me this _______________
in the City of __________,
Philippines,
affiant having exhibited to me
his/her community tax certificate
with no. __________________
issued
on _________________ at
______________ .
Doc. No. ________;
Page No. ________;
Book No.________;
Series of 2011.
REPUBLIC OF THE
PHILIPPINES )
CITY OF QUEZON ) S.S.
AFFIDAVIT OF LOSS
I, Adrian P. Mangaoang, Filipino,
of legal age, single and a resident
of 14B Ledesma Court, Culiat,
Tandang Sora, Quezon City, after
having duly sworn to in
accordance with law, hereby
depose and say
that:
1. I am a holder of a Certified
Public Accountant Identification
Card issued by Professional
Regulation
Commission;
2. I lost said Identification Card
on May 10, 2011 and that I exerted
all efforts to locate the same but I
could not remember exactly where
I placed it and it is considered lost
for all legal purposes;
3. Said Identification Card was
not confiscated by any officer of
the law by reason of any violation
of
any law, ordinance, presidential
decree or rules and regulation of
the said Commission; and
neither was it offered as collateral
for any loan;
I am executing this affidavit to
attest to the foregoing facts;
IN WITNESS WHEREOF, I have
hereunto set my hand this 13
th
of May in the City of Quezon,
Philippines.
ADRIAN P. MANGAOANG
Affiant
SUBSCRIBED AND SWORN to
before me this _______________
in the City of __________,
Philippines,
affiant having exhibited to me
his/her community tax certificate
with no. __________________
issued
on _________________ at
______________ .
Doc. No. ________;
Page No. ________;
Book No.________;
Series of 2011.
REPUBLIC OF THE
PHILIPPINES )
CITY OF QUEZON ) S.S.
AFFIDAVIT OF LOSS
I, Adrian P. Mangaoang, Filipino,
of legal age, single and a resident
of 14B Ledesma Court, Culiat,
Tandang Sora, Quezon City, after
having duly sworn to in
accordance with law, hereby
depose and say
that:
1. I am a holder of a Certified
Public Accountant Identification
Card issued by Professional
Regulation
Commission;
2. I lost said Identification Card
on May 10, 2011 and that I exerted
all efforts to locate the same but I
could not remember exactly where
I placed it and it is considered lost
for all legal purposes;
3. Said Identification Card was
not confiscated by any officer of
the law by reason of any violation
of
any law, ordinance, presidential
decree or rules and regulation of
the said Commission; and
neither was it offered as collateral
for any loan;
I am executing this affidavit to
attest to the foregoing facts;
IN WITNESS WHEREOF, I have
hereunto set my hand this 13
th
of May in the City of Quezon,
Philippines.
ADRIAN P. MANGAOANG
Affiant
SUBSCRIBED AND SWORN to
before me this _______________
in the City of __________,
Philippines,
affiant having exhibited to me
his/her community tax certificate
with no. __________________
issued
on _________________ at
______________ .
Doc. No. ________;
Page No. ________;
Book No.________;
Series of 2011.
REPUBLIC OF THE PHILIPPINES )
________________ ) S.S.
 AFFIDAVIT OF SOLO PARENT

I, _______________, Filipino, of legal age, single and a resident of

_______________________, after having duly sworn to in accordance with law,
hereby depose and say that:

1. I am the mother of _______________ who was born on

_______________;

2. That I and the biological father of my child never got married and in
fact when our relation was severed, he never provide any financial
support to our child;

3. That I was thereafter left alone with the sole responsibility of

parenthood with the guidance and help of my family and up to
present, I am taking the custody and solely providing for the needs of
my child;

4. I am executing this affidavit to attest to the foregoing facts and for the
purpose of securing a solo parent id and to receive the benefits under
the Solo Parent’s Welfare Act of 2000 and for whatever legal purposes
it may serve;

IN WITNESS WHEREOF, I have hereunto set my hand this

____________ in the _______________, Philippines.

__________________
Affiant
SUBSCRIBED AND SWORN to before me this ____________ in the
_________________, Philippines, affiant having exhibited to me her
____________________.

Notary Public
Doc No.
Page No.
Book No. 1
Series of 2021