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Affidavit of Loss: Doc. No. - Page No. - Book No. - Series of 2019

The affidavit details that the affiant graduated from Polytechnic University of the Philippines in 1991 and was issued a diploma. The affiant kept the diploma in an envelope with other documents but has since lost the envelope. The affiant has searched for the lost envelope but was unable to find it. The affiant is now requesting a duplicate diploma from the university to replace the lost original.

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0% found this document useful (0 votes)
48 views1 page

Affidavit of Loss: Doc. No. - Page No. - Book No. - Series of 2019

The affidavit details that the affiant graduated from Polytechnic University of the Philippines in 1991 and was issued a diploma. The affiant kept the diploma in an envelope with other documents but has since lost the envelope. The affiant has searched for the lost envelope but was unable to find it. The affiant is now requesting a duplicate diploma from the university to replace the lost original.

Uploaded by

rcpanganiban
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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REPUBLIC OF THE PHILIPPINES)

MANILA ) Ss.

AFFIDAVIT OF LOSS

I, WILFREDO PASAMONTE BONDOC, of legal age, Filipino and with


residence and postal address at 103 Shaw St., Sta. Rosa Estates, Santa Rosa,
Laguna, after having been duly sworn to in accordance with law do hereby depose
and state:

1. I am a graduate of Polytechnic University of the Philippines on


1991 with a degree of Bachelor of Science in Mechanical
Engineering wherein I was issued a Diploma;

2. That I placed my Diploma in a brown envelope together with my


other personal documents, and as far as I can recall I kept the
said envelope in my desk cabinet in my home;

3. However, when I looked for the said envelope in the place where
I kept it, I can no longer find the same and I believe I may have
lost it;

4. That I tried all efforts to find said envelope but all proved to be
futile;

5. That I am now requesting for a duplicate of my School Diploma


from the Polytechnic University of the Philippines in lieu of the
one lost;

6. That I am executing this affidavit to attest to the truth and


veracity of the foregoing statements and for whatever legal
purpose this may serve.

AFFIANT FURTHER SAYS NAUGHT.

WILFREDO PASAMONTE BONDOC,


-Affiant-

SUBSCRIBED AND SWORN TO before me this 12 th day of February


2019, in the City of Manila, Philippines, affiant exhibited to me his Driver’s
License with ID No. N04-93-266630 as competent proof of her identity.

Doc. No. ____


Page No. ____
Book No. ____
Series of 2019

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