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REPUBLIC OF THE PHILIPPINES)

LAPU-LAPU CITY) SS

AFFIDAVIT OF LOSS

I, CHRISTINE LOUISE CABANDAY MALUBAY, of legal age, single, residing at


Purok Judas Belt, Babag 2, Lapu-Lapu City, Philippines, after being sworn in
accordance with law, depose and say:

1. That I am the lawful owner of the Company ID issued by the FCO


International Inc.;

2. That I usually kept the abovementioned item in my ID sling for easy access;

3. That sometime on December 19, 2022, on my way home from work, I noticed
that the abovementioned item was already missing from my ID sling and it
might have fallen out while I was travelling;

4. That I directly went back to my route and diligently exerted efforts to locate
the said Company ID, but despite a diligent search it could not be found, hence
the same is deemed lost and at a point beyond recovery;

5. That I am executing this affidavit to attest to the truth and veracity of the
foregoing facts so that I may be issued a new Company ID in lieu of the lost
one, and for whatever legal purpose this may serve

IN WITNESS WHEREFORE, I have hereunto affixed my signature this 20 th day of


December, 2022, at Lapu-Lapu City, Philippines.

CHRISTINE LOUISE CABANDAY MALUBAY


Affiant
TIN: 378-022-386-000
Bureau of Internal Revenue

SUBSCRIBED AND SWORN to before me, a notary public for and in the City of
Lapu-Lapu, this 20th day of December, 2022 at Lapu-Lapu City; affiant who personally
appeared before me with their competent evidence of identity above, and who
signed this instrument in my presence, and avowed under the penalty of law to the
whole truth of its contents.

WITNESS MY HAND AND SEAL on the date and at the place above-written.

Doc.No._____;
Page No.____;
Book No.____;
Series of 2022.

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