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AFFIDAVIT OF LOSS
I, EVELYN A. QUIAO, of legal age, married, Filipino citizen and with residence and
postal address at Talubin, Bontoc, Mountain Province after having been duly sworn to in
accordance with law do hereby depose and say:
2. That on August 28, 2018, I was checking my bag where I usually keep the said
PRC I.D. Card and I noticed for the first time that the same was missing;
3. That the same must have been misplaced as despite my diligent efforts and
inquiries to locate the said PRC I.D. Card, I was not able to find it up to the
present and therefore I consider the same as lost and beyond recovery;
4. That I undertake to surrender the said PRC I.D. Card in the event the same
could be found;
IN WITNESS WHEREOF, I set my hand this 03rd day of September 2018 at Bontoc,
Mountain Province.
EVELYN A. QUIAO
Affiant
PRC ID Card No: 1618489