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Republic of the Philippines )

City of Tuguegarao ) S.S.


Province of Cagayan )

AFFIDAVIT OF LOSS

I, PEARL PATRIQUE S. PARALLAG of legal age, Filipino and a


resident of Purok Sadiri II, Pussian, Alcala, Cagayan, that after having been duly
sworn to in accordance with law, do hereby depose and say, to wit:

1. That I am currently a second year college student of International School


of Asia and the Pacific (ISAP) located at Alimannao Hills, Peñablanca,
Cagayan taking up Bachelor of Science in Tourism Management
(BSTM);

2. That I have been issued an School Identification Card with an ID no.


2021-00293 of the aforementioned school;

3. That sometime on 23 August 2023, when I arrived home from school I


discovered that the said School ID was inadvertently loss and the same
was no longer in my belongings for any unknown reason;

4. That despite diligent search and efforts to locate the said Identification
Card, I could not find the same such that I now believe that said ID is
now misplaced/lost beyond recovery;

5. That said ID card was neither confiscated nor apprehended by any


competent authority for any violation of any existing, rules and/or
regulation of the abovementioned school;

6. That I am executing this affidavit to attest to the truthfulness of the


foregoing and for the purpose of informing the concerned authorities
about the above matter and for the reissuance of a new Identification
Card bearing the same details. Furthermore, for the use of this affidavit
for all legal intents and purpose that it may serve best.

IN WITNESS WHEREOF, I have hereunto set my hand this ___ day of


________ 2023 at ____________________, Philippines.

PEARL PATRIQUE S. PARALLAG


Affiant

SUBSCRIBED AND SWORN TO before me this ___ day of


____________ 2023 in _________________, Philippines, the Affiant exhibiting to
me her Philsys National ID bearing no. 2763-1042-3794-0184 issued by Philippine
Statistical Authority (PSA) which serve as her proof of competent identity.

Doc No. _____;


Page No. ____; NOTARY PUBLIC
Book No.____;
Series of 2023

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