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