REPUBLIC OF THE PHILIPPINES)
Arakan, Cotabato ) s.s
AFFIDAVIT OF FACTS
I, RYAN CRISTHAN EGUILLOS CAMAT, of legal age, Filipino citizen and a resident of Prk
Pomelo, Amas, City of Kidapawan, Cotabato, after being duly sworn on oath in accordance with law
hereby depose and say:
1. That I am the person who executes this affidavit;
2. That I am a Merayag Folkloric Dance Troupe;
3. That I am not doing this for business but I am only engaged in this art for leisure purposes
only;
4. Considering the time spent for Merayag Folkloric Dance Troupe, I sometimes charged a
minimal amount for my services rendered;
5. That I do not maintain a business establishment for this skill;
6. That I execute this affidavit in order to attest the truthfulness of the foregoing statements for
whatever legal purpose this may serve.
IN TRUTH WHEREOF, I have hereunto signed by name below, this 20th day of September, 2023 at
Doroluman, Arakan, Cotabato, Philippines.
RYAN CRISTHAN EGUILLOS CAMAT
Affiant
PhilSys ID No: 5109-6178-1436-2938
SUBSCRIBED AND SWORN to before me this 20th of September 2023 at Doroluman, Arakan,
Cotabato, Philippines, affiant exhibiting competent evidence of identity stated above.
WITNESS MY HAND AND SEAL.
Notary Public
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2023.
REPUBLIC OF THE PHILIPPINES)
Arakan, Cotabato ) s.s
AFFIDAVIT OF LOSS
I, REGINE JOY V. ARACAP, of legal age, Filipino citizen, and resident of Malatab, Antipas, Cotabato,
Philippines, after being duly sworn in accordance with law, hereby depose and state under oath:
1. That I am the lawful owner/holder of the lost TRANSCRIPT OF RECORDS (TOR)
for my Bachelor of Elementary Education which was issued to me by the Cotabato Foundation
College of Science and Technology (CFCST) in Doroluman, Arakan, Cotabato on 2017;
2. That the lost document was in my possession and custody, and I have exercised due
care and diligence to keep it safe and secure;
3. That I have made a diligent search and inquiry to locate the lost document but to no
avail. It is irretrievably lost and cannot be recovered;
4. That the loss of the said document was not due to any negligence, willful act, or
omission on my part; and
5. That I am executing this Affidavit of Loss to attest to the truth of the foregoing facts
and for the purpose of applying for the issuance of a new/replacement item/document.
IN WITNESS WHEREOF, I have hereunto set my hand this 30th of August 2023, in Doroluman, Arakan,
Cotabato, Philippines.
REGINE JOY V. ARACAP
SUBSCRIBED AND SWORN to before me this 30th of August 2023 at Doroluman, Arakan,
Cotabato, Philippines, affiant exhibiting competent evidence of identity: P5991248A.
WITNESS MY HAND AND SEAL.
Notary Public
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2023.
REPUBLIC OF THE PHILIPPINES)
Arakan, Cotabato ) s.s
AFFIDAVIT OF LOSS
I, MARJORIE G. CONATO, of legal age, Filipino citizen, and resident of Naje, Arakan, Cotabato,
Philippines, after being duly sworn in accordance with law, hereby depose and state under oath:
1. That I am the lawful owner/holder of the lost PROFESSIONAL DRIVER’S
LICENSE issued to me by the Land Transportation Office in Kidapawan City;
2. That the lost document was in my possession and custody, and I have exercised due
care and diligence to keep it safe and secure;
3. That I have made a diligent search and inquiry to locate the lost document but to no
avail. It is irretrievably lost and cannot be recovered;
4. That the loss of the said document was not due to any negligence, willful act, or
omission on my part; and
5. That I am executing this Affidavit of Loss to attest to the truth of the foregoing facts
and for the purpose of applying for the issuance of a new/replacement item/document.
IN WITNESS WHEREOF, I have hereunto set my hand this 16th of August 2023, in Doroluman, Arakan,
Cotabato, Philippines.
MARJORIE G. CONATO
SUBSCRIBED AND SWORN to before me this 16th of August 2023 at Doroluman, Arakan,
Cotabato, Philippines, affiant exhibiting competent evidence of identity: PAG-ibig Loyalty Card No.
1211-7201-7841.
WITNESS MY HAND AND SEAL.
Notary Public
Doc. No. 82;
Page No. 18;
Book No. 01;
Series of 2023.
REPUBLIC OF THE PHILIPPINES)
Arakan, Cotabato ) s.s
AFFIDAVIT OF LOSS
I, MARY GRACE AGNES VERDADERO, of legal age, Filipino citizen, and resident of Doroluman,
Arakan, Cotabato, Philippines, after being duly sworn in accordance with law, hereby depose and state
under oath:
1. That I am the lawful owner/holder of the lost HONORABLE DISMISSAL issued to
me by the Registrar’s Office of the Cotabato Foundation College of Science and Technology
(CFCST) in Doroluman, Arakan, Cotabato on 2017;
2. That the lost document was in my possession and custody, and I have exercised due
care and diligence to keep it safe and secure;
3. That I have made a diligent search and inquiry to locate the lost document but to no
avail. It is irretrievably lost and cannot be recovered;
4. That the loss of the said document was not due to any negligence, willful act, or
omission on my part; and
5. That I am executing this Affidavit of Loss to attest to the truth of the foregoing facts
and for the purpose of applying for the issuance of a new/replacement item/document.
IN WITNESS WHEREOF, I have hereunto set my hand this 07 of August 2023, in Doroluman, Arakan,
Cotabato, Philippines.
MARY GRACE AGNES VERDADERO
SUBSCRIBED AND SWORN to before me this 07 of August 2023 at Doroluman, Arakan,
Cotabato, Philippines, affiant exhibiting competent evidence of identity: Voter’s ID No. 4718-0038A-
I1189MVA20000.
WITNESS MY HAND AND SEAL.
Notary Public
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2023.
REPUBLIC OF THE PHILIPPINES)
Arakan, Cotabato ) s.s
AFFIDAVIT OF LOSS
I, MARY GRACE AGNES VERDADERO, of legal age, Filipino citizen, and resident of Doroluman,
Arakan, Cotabato, Philippines, after being duly sworn in accordance with law, hereby depose and state
under oath:
1. That I am the lawful owner/holder of the lost TRANSCRIPT OF RECORDS (TOR)
for my Bachelor of Science of Agriculture major in Animal Science which was issued to me by
the Cotabato Foundation College of Science and Technology (CFCST) in Doroluman, Arakan,
Cotabato on 2017;
2. That the lost document was in my possession and custody, and I have exercised due
care and diligence to keep it safe and secure;
3. That I have made a diligent search and inquiry to locate the lost document but to no
avail. It is irretrievably lost and cannot be recovered;
4. That the loss of the said document was not due to any negligence, willful act, or
omission on my part; and
5. That I am executing this Affidavit of Loss to attest to the truth of the foregoing facts
and for the purpose of applying for the issuance of a new/replacement item/document.
IN WITNESS WHEREOF, I have hereunto set my hand this 07 of August 2023, in Doroluman, Arakan,
Cotabato, Philippines.
MARY GRACE AGNES VERDADERO
SUBSCRIBED AND SWORN to before me this 07 of August 2023 at Doroluman, Arakan,
Cotabato, Philippines, affiant exhibiting competent evidence of identity: Voter’s ID No. 4718-0038A-
I1189MVA20000.
WITNESS MY HAND AND SEAL.
Notary Public
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2023.
REPUBLIC OF THE PHILIPPINES)
Arakan, Cotabato ) s.s
AFFIDAVIT OF LOSS
I, VELOSO LAMUNAY SUHAT II, of legal age, Filipino citizen, and resident of Poblacion, Arakan,
Cotabato, Philippines, after being duly sworn in accordance with law, hereby depose and state under oath:
1. That I am the lawful owner/holder of the lost PASSBOOK issued by the Rural Bank
of Digos- Arakan Branch, Arakan, Cotabato with number 501-1001-00149-1;
2. That the lost document was in my possession and custody, and I have exercised due
care and diligence to keep it safe and secure;
3. That I have made a diligent search and inquiry to locate the lost document but to no
avail. It is irretrievably lost and cannot be recovered;
4. That the loss of the said document was not due to any negligence, willful act, or
omission on my part; and
5. That I am executing this Affidavit of Loss to attest to the truth of the foregoing facts
and for the purpose of applying for the issuance of a new/replacement item/document.
IN WITNESS WHEREOF, I have hereunto set my hand this 04 of August 2023, in Doroluman, Arakan,
Cotabato, Philippines.
VELOSO LAMUNAY SUHAT II
SUBSCRIBED AND SWORN to before me this 04 of August 2023 at Doroluman, Arakan,
Cotabato, Philippines, affiant exhibiting competent evidence of identity: Professional Driver’s License
with No. M07-20-003032, valid until April 27, 2024 .
WITNESS MY HAND AND SEAL.
Notary Public
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2023.
REPUBLIC OF THE PHILIPPINES)
Arakan, Cotabato ) s.s
AFFIDAVIT OF LOSS
I, RIZA SANDAGA SARIGNAYA, of legal age, Filipino citizen, and resident of Doroluman, Arakan,
Cotabato, Philippines, after being duly sworn in accordance with law, hereby depose and state under oath:
1. That I am the lawful owner/holder of the lost DIPLOMA for my Bachelor of
Secondary Education major in Mathematics which was issued to me by the Cotabato Foundation
College of Science and Technology (CFCST) in Doroluman, Arakan, Cotabato on March 31,
2016;
2. That the lost document was in my possession and custody, and I have exercised due
care and diligence to keep it safe and secure;
3. That I have made a diligent search and inquiry to locate the lost document but to no
avail. It is irretrievably lost and cannot be recovered;
4. That the loss of the said document was not due to any negligence, willful act, or
omission on my part; and
5. That I am executing this Affidavit of Loss to attest to the truth of the foregoing facts
and for the purpose of applying for the issuance of a new/replacement item/document.
IN WITNESS WHEREOF, I have hereunto set my hand this 04 of August 2023, in Doroluman, Arakan,
Cotabato, Philippines.
RIZA SANDAGA SARIGNAYA
SUBSCRIBED AND SWORN to before me this 04 of August 2023 at Doroluman, Arakan,
Cotabato, Philippines, affiant exhibiting competent evidence of identity Passport ID with No.
P3144622C.
WITNESS MY HAND AND SEAL.
Notary Public
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2023.
REPUBLIC OF THE PHILIPPINES)
Arakan, Cotabato ) s.s
AFFIDAVIT OF LOSS
I, ZACARIA E. DALAM, of legal age, Filipino citizen, and resident of Apo Sandawa, Phase 2, Brgy.
Singao, Kidapawan City, Philippines, after being duly sworn in accordance with law, hereby depose and
state under oath:
1. That I am the lawful owner/holder of the lost Senior Citizen Identification Card
issued by the Senior Citizen’s Office, Kidapawan City;
2. That the lost document was in my possession and custody, and I have exercised due
care and diligence to keep it safe and secure;
3. That I have made a diligent search and inquiry to locate the lost document but to no
avail. It is irretrievably lost and cannot be recovered;
4. That the loss of the said document was not due to any negligence, willful act, or
omission on my part; and
5. That I am executing this Affidavit of Loss to attest to the truth of the foregoing facts
and for the purpose of applying for the issuance of a new/replacement item/document.
IN WITNESS WHEREOF, I have hereunto set my hand this 04 of August 2023, in Doroluman, Arakan,
Cotabato, Philippines.
ROSEL HAROLD QUEEN MAGBANUA
SUBSCRIBED AND SWORN to before me this 04 of August 2023 at Doroluman, Arakan,
Cotabato, Philippines, affiant exhibiting competent evidence of identity: Passport ID with No.
P3144622C.
WITNESS MY HAND AND SEAL.
Notary Public
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2023.
REPUBLIC OF THE PHILIPPINES )
Arakan, Cotabato ) s.s
AFFIDAVIT OF LOSS
I, MINALYN P. MALACO, of legal age, Filipino citizen, and resident of Doroluman, Arakan, Cotabato,
Philippines, after being duly sworn in accordance with law, hereby depose and state under oath:
1. That I am the lawful owner/holder of the lost Official Receipt with No. 0358-2022-
01085 from the MLhuillier Philippines, where I pawned my 1 Ring def 2.6g 21k;
2. That the lost document was in my possession and custody, and I have exercised due
care and diligence to keep it safe and secure;
3. That I have made a diligent search and inquiry to locate the lost document but to no
avail. It is irretrievably lost and cannot be recovered;
4. That the loss of the said document was not due to any negligence, willful act, or
omission on my part; and
5. That I am executing this Affidavit of Loss to attest to the truth of the foregoing facts
and for the purpose of applying for the issuance of a new/replacement item/document.
IN WITNESS WHEREOF, I have hereunto set my hand this 01 of August 2023, in Doroluman, Arakan,
Cotabato, Philippines.
MINALYN P. MALACO
SUBSCRIBED AND SWORN to before me this 1st of September 2023 at Doroluman, Arakan,
Cotabato, Philippines, affiant exhibiting competent evidence of identity of
_________________________________________________________________.
WITNESS MY HAND AND SEAL.
Notary Public
Doc. No. 126;
Page No. 26;
Book No. 01;
Series of 2023.
REPUBLIC OF THE PHILIPPINES )
Arakan, Cotabato ) s.s
AFFIDAVIT OF LOSS
I, ROSEL HAROLD QUEEN MAGBANUA, of legal age, Filipino citizen, and resident of Doroluman,
Arakan, Cotabato, Philippines, after being duly sworn in accordance with law, hereby depose and state
under oath:
1. That I am the lawful owner/holder of the lost Official Receipt with No. 0358-2023-
00093 from the MLhuillier Philippines, where I pawned my Y6 Pul tri color with charm def 16.6
grms (18k);
2. That the lost document was in my possession and custody, and I have exercised due
care and diligence to keep it safe and secure;
3. That I have made a diligent search and inquiry to locate the lost document but to no
avail. It is irretrievably lost and cannot be recovered;
4. That the loss of the said document was not due to any negligence, willful act, or
omission on my part; and
5. That I am executing this Affidavit of Loss to attest to the truth of the foregoing facts
and for the purpose of applying for the issuance of a new/replacement item/document.
IN WITNESS WHEREOF, I have hereunto set my hand this 01 of August 2023, in Doroluman, Arakan,
Cotabato, Philippines.
ROSEL HAROLD QUEEN MAGBANUA
SUBSCRIBED AND SWORN to before me this 01 of August 2023 at Doroluman, Arakan,
Cotabato, Philippines, affiant exhibiting competent evidence of identity through CFCST School ID with
number CFCST 19-129, issued on 2019.
WITNESS MY HAND AND SEAL.
Notary Public
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2023.