Affidavit of Loss - School ID

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REPUBLIC OF THE PHILIPPINES )

CITY OF GENERAL SANTOS ) SS.


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AFFIDAVIT OF LOSS
OF LOVELY JEAN P. BALUNTO

I, LOVELY JEAN P. BALUNTO, of legal age, Filipino, single, and a resident of


Casquejo St., Brgy. South, General Santos City, Philippines, after having been duly
sworn to in accordance with law, hereby depose and say THAT:

1. I am an incoming third year student with a course of BSBA Financial


Management in Notre Dame of Dadiangas University, General Santos City;

2. Sometime on the 2nd week of April 2019, while I was in our family vacation trip in
Cagayan de Oro, I brought with me our course catalogue, did and then I
realized that I lost it and is nowhere to be found;

3. I exerted all efforts to locate the same but I could not remember exactly where I
placed/left it as it cannot be found and it is considered lost;

4. I am executing this affidavit to attest to the truth of the foregoing facts and in
support of the request for re-issuance of my course catalogue.

IN WITNESS WHEREOF, I have hereunto set my hand this _May 27, 2019_ at
General Santos City, Philippines.

LOVELY JEAN P. BALUNTO


Affiant
School I.D.No. 201722181

SUBSCRIBED AND SWORN to before me, a Notary Public for and in General
Santos City, Phils., this May 27, 2019 at General Santos City, Philippines, affiant
exhibited to me her competent means of identification as above-indicated and she
certified that the contents hereof are true and correct based on her personal knowledge
and authentic records. She certified that she understood the contents of this Affidavit.

Doc No. ___;


Page No. ___;
Book No. ___;
Series of 2019.

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