REPUBLIC OF THE PHILIPPINES)
CITY OF TAGUIG
) S.S.
AFFIDAVIT OF LOSS
I, _____________________, single, Filipino, of legal age, and a resident of
_____________________________________ after having been duly sworn in
accordance with law, hereby depose and say:
1. That I am an enrolled student of school and was issued a valid student
identification card with ID number LRN - ___________________
2. That to my surprise, I discovered sometime in that the said identification card
could not be found;
3. That despite diligent effort to locate the same had proved futile;
4. That I am executing this affidavit to attest to the truth of the foregoing facts and
to request for a replacement of said school ID.
Affiant
IN WITNESS WHERE OF, I have hereunto set my hand this _____________
in __________________, Philippines.
SUBCRIBED AND SWORN TO before me this _______________ in
_______________,
Philippines, affiant exhibiting to me her valid proof of identification.
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2023.