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REPUBLIC OF THE PHILIPPINES) IN THE CITY OF COTABATO )S.c.

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AFFIDAVIT OF LOSS
I, ABDILAH A. NUL, JR, of legal age, single Filipino and a resident of N.D Ave.,, Cotabato City, Philippines, after having been duly sworn to law, depose and state: 1. That I am the holder/registered owner of the STUDENT IDENTIFICATION CARD (I.D.) issued by CCSPC-LABORATORY HIGH SCHOOL, Cotabato City; 2. That sometimes on March 25, 2012 said STUDENT I.D was misplaced during our high-school graduation practice and nowhere to be found; 3. That I have exerted my effort to locate said STUDENT I.D but to no avail, hence considered lost; 4. That I am executing this AFFIDAVIT OF LOSS to attest to the truthfulness of the foregoing facts and for whatever legal purpose it may serve. IN WITNESS WHEREOF, I have hereunto set my hand this 2nd day of April, 2012 at Cotabato City. ABDILAH A. NUL, JR Affiant

SIGNED IN THE PRESENCE OF: 1. ABBYR A. NUL 2. WARDA LAKIM

SUBSCRIBED AND SWORN to before me this 10th day of April, 2012, at Cotabato City, Philippines. Doc. No. 1339 Page No. 268 Book No. IX Series of 2012