REPUBLIC OF THE PHILIPPINES)
<CITY>                     ) SS.
                                   AFFIDAVIT OF LOSS
       I, <NAME>, of legal age, Filipino, <civil status>, residing at <residential address>, after having
been duly sworn to in accordance with law, do hereby depose and state:
    1. I am the <position> of <CORPORATION> (the “CORPORATION”), a corporation duly
organized and existing by virtue of the laws of the Republic of the Philippines, with principal office
address at <office address>;
    2. As such, I have access to the corporate documents of the CORPORATION;
     3. I confirm that despite diligent search efforts, the <document> cannot be found among the
files of the CORPORATION;
   4. I am executing this Affidavit to attest to the truth of the foregoing and for what every legal
purpose it may serve.
        IN WITNESS WHEREOF, I have hereunto set my hand ___________________ in <City>.
                                                                          <NAME>
      SUBCRIBED AND SWORN TO before me this <date> in <City>, affiant exhibiting to me his/her
<competent evidence of identity>.
 Doc. No. ____;
 Page No. ____;
 Book No. ____;
 Series of 2022.                                                      NOTARY PUBLIC