REPUBLIC OF THE PHILIPPINES)

CITY OF.............................)S.S.

AFFIDAVIT OF LOSS

I, Meli Ann V. Catriz , of legal age, Filipino, Director of ASI.COM.PH, INC with principal office address at #2 3rd st.
Cavaliers Village Antipolo City having been duly sworn to in accordance with the law, do hereby depose and state, that:

1. That I’am the Director of ASI.CO.PH, INC. since 2017

2. That I made the efforts to locate the document but all efforts to retrieve the said document have proved abortive and deemed
lost.

PO#: MNLM150312

3. That I am in need to certify the loss of the said Billing Statement.

4. That I am executing this affidavit to attest to the truth of the foregoing facts and to inform the proper authorities’ concern and
for whatever legal purpose this affidavit may serve.

FURTHER AFFIANT SAYETH NAUGHT.

In WITNESS WHEREOF, I hereunto set my hand on this Day for the Month of in the

MELI ANN V. CATRIZ

AFFIANT

SUBSCRIBED AND SWORN to before me this day of 20 in the Doc No.

Page No.

Book No.

Series of 2022