Republic of the Philippines)
In the City of Davao………..)S.S.
x---------------------------------x
Z
AFFIDAVIT OF LOSS
I, _________, of legal age, Filipino, single and a resident of Prk.12,
Talomo Proper, Davao City, Philippines, after being duly sworn in accordance
with law, hereby depose and say THAT :
1. I am herein affiant;
2. Sometime on 26 November 2022, my nephew, _________, issued a
solicitation letter for his year book for this coming 23 January 2023
graduation;
3. I placed the above-mentioned solicitation letter, inside an envelope which
was kept safe inside the cabinet;
4. However, recently, I discovered that the above mentioned solicitation letter
was no longer inside the envelope in the cabinet;
5. Despite diligent efforts, the same could not be found, hence, declared lost
for all legal intents and purposes;
6. I am executing this affidavit in order to attest to the truth of the foregoing
facts and to inform the Davao Merchant Marine Academy (DMMA) and for
whatever purpose it may serve.
IN WITNESS WHEREOF, I have hereunto affixed my signature this 06 th
day of December 2022 in Davao City, Philippines.
_____________
Affiant
SUBSCRIBED AND SWORN to before me this 06th day of December
2022 in Davao City, Philippines. Affiant exhibited to me her _________, issued
at Davao City, Philippines.
Doc No. ___;
Page No. ___;
Book No. ____
Series of 2022.