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REPUBLIC OF THE PHILIPPINES )

CITY OF TAGUIG__________________ ) S.S


AFFIDAVIT OF LOSS

I, ARTHUR JAKE E. CABRAL, of legal age, Filipino, with residential


address at Tower A, Kingwood Condominium, Don Chino Roces Ave., cor. Vito
Cruz Ext., La Paz, Makati City, s, after having been duly sworn to according to law
hereby depose and state:
1. That I am a holder of Ateneo Alumni Association Identification Card
issued by the Ateneo de Manila University with number 040536.
2. That on 2016 February 25, said Ateneo
Identification Card was misplaced and got lost.

Alumni

Association

3. That despite diligent search and efforts to locate my Ateneo Alumni


Association Identification Card, I could not find the same such that I
now believe that it is now lost beyond recovery;
4. That said Bobby Ateneo Alumni Association Identification Card has not
been confiscated by reason of any violation of rules and regulations of
the Alumni Association.
5. As such, I am executing this Affidavit of Loss to attest the truth of the
foregoing.
IN WITNESS WHEREOF, I have hereunto set my hand this 9 th day of
March 2016 at the City of Taguig.

ARTHUR JAKE E. CABRAL


Affian
t
SUBSCRIBED AND SWORN to before me this 9th day of March 2016,
Affiant exhibited to me his Tax Identification Number 412-070-545.

Doc. No. ____


Page No. ____
Book No. ____
Series of 2016.