Republic of the Philippines   )
Quezon City                   ) S.S.
                                       AFFIDAVIT OF LOSS
       I, CHRISTOPHER ESCOTOTO LEQUIN of legal age Filipino, with residence address at Blk
27 Haggai St., Brgy. San Juan, Exodus Floodway, Cainta, Rizal, after having sworn to in
accordance with law do hereby deposes and state:
   1. That I am the owner/possessor of High School Diploma (S.Y. 2000), Form 137, and CAT
      Certificate issued by Camp Gen. Emilio Aguinaldo High School in Cubao, Quezon City;
   2. That sometime in 2005 the above mentioned items were inadvertently lost or might
      have been misplaced due to unknown circumstances;
   3. That despite diligent efforts to locate the same all efforts proved fruitless up to the
      present and fear that the same were lost beyond recovery.
   4. That I am executing this affidavit to attest to the truth of the foregoing instrument and
      for any legal purpose and intents this may serve.
       IN WITNESS WHEREOF, I have hereunto set my hand this 21 st day of June, 2021 in
       Quezon City.
                                             CHRISTOPHER ESCOTOTO LEQUIN
                                                        Affiant
                                             Residence ID No. 57839
                                             Issued by Brgy. San Juan, Mun of Cainta
               SUBSCRIBED AND SWORN TO before me this 21 st day of June, 2021 in Quezon
       City. Affiant exhibited to me his/her Identification documents as proof of his/her
       identity.
       Doc. No._____
       Page No._____
       Book No._____
       Series of 2021.