You are on page 1of 1

Republic of the Philippines)

Municipality of Oton )S.S

AFFIDAVIT OF LOSS

I, MARK G. BILBAO, of legal age, and residing at Brgy.


Botong, Oton, Iloilo, after having sworn in accordance with law,
hereby depose and say, that:

1. That I am a graduate of Bachelor of Science Major in Marine


Engineering from John B. Lacson Maritime University, Molo, Iloilo
City;

2. That I was issued a College Diploma by said University;

3. That said Diploma was missing and must have been lost
sometime in February or March 2023 when I lost some of my
important documents contained in a brown envelope;

4. That despite long and diligent it could no longer be recovered;

5. I am executing this Affidavit to attest to the truth of the foregoing


and to support a request for a replacement copy of the above-
mentioned Diploma.

IN WITNESS WHEREOF, I have hereunto affixed my signature


this 9th of June 2023 in the Municipality of Oton, Iloilo, Philippines.

MARK G. BILBAO
Affiant
National ID No.4084-9601-9857-8105

SUBSCRIBED AND SWORN to before me in Pasig City this 9 th


day of June 2023 by the Affiant, who has satisfactorily proven to me
his identity through the above-mentioned competent evidence of his
identity.

Doc. No. _____;


Page No. _____;
Book No. _____;
Series of 2023.

You might also like