REPUBLIC OF THE PHILIPPINES)
PROVINCE OF CAGAYAN ) S.S
CITY OF TUGUEGARAO )
X- - - - - - - - - - - - - - - - - - - - - - - - X
AFFIDAVIT OF LOSS
I, MARC JAYNARD V. CALIVOSO, of legal age, Filipino, married,
presently residing at Batangan, Gonzaga, Cagayan, after being duly sworn,
hereby depose and state:
1. That on March 2015, I completed High School and graduated from
Ipil National Highschool, Gonzaga, Cagayan;
2. That as proof of the said completion I was issued a High School
Diploma by the said school;
3. That I placed the original copy of my High School Diploma inside a
brown envelop and keep it inside our house at my above mentioned
residence;
4. That sometime on December 4, 2020, I looked for the said original
copy of my High School Diploma but the same could not be found;;
5. That despite all efforts to find the said original copy of my High
School Diploma, I still cannot locate it and consider it lost;
6. That I am executing this affidavit to attest to the truth of the foregoing
facts and to use the same for whatever legal purpose it may serve.
IN WITNESS WHEREOF, I hereunto affix my signature this 14th day
of December, 2020 at Tuguegarao City, Cagayan.
MARC JAYNARD V. CALIVOSO
Affiant
Driver’s License No. B03-17-000994
SUBSCRIBED AND SWORN to before me this 14th day of December,
2020 at Tuguegarao City, Cagayan.
Doc. No.
Page No.
Book No.
Series of 2020
REPUBLIC OF THE PHILIPPINES)
PROVINCE OF CAGAYAN ) S.S
CITY OF TUGUEGARAO )
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AFFIDAVIT OF LOSS
I, ROLLY MIGUEL TABILAS, of legal age, Filipino, married, presently
residing at Caniugan, Sta. Teresita, Cagayan, after being duly sworn, hereby
depose and state:
1. That on April 2003, I completed High School and graduated from Sta.
Teresita National Highschool, Sta. Teresita, Cagayan;
2. That as proof of the said completion I was issued a High School
Diploma by the said school;
3. That I placed the original copy of my High School Diploma inside a
brown envelop and keep it inside our house at my above mentioned
residence;
4. That sometime on December 18, 2020, I looked for the said original
copy of my High School Diploma but the same could not be found;;
5. That despite all efforts to find the said original copy of my High
School Diploma, I still cannot locate it and consider it lost;
6. That I am executing this affidavit to attest to the truth of the foregoing
facts and to use the same for whatever legal purpose it may serve.
IN WITNESS WHEREOF, I hereunto affix my signature this 21st day
of December, 2020 at Tuguegarao City, Cagayan.
ROLLY MIGUEL TABILAS
Affiant
SUBSCRIBED AND SWORN to before me this 21st day of December,
2020 at Tuguegarao City, Cagayan.
Doc. No.
Page No.
Book No.
Series of 2020