C I T Y O F D A V A O ) SS. x- - - - - - - - - - - - - - - - - --x
AFFIDAVIT OF LOSS
I, DANIELLE G. DIAZ, married, of legal age, Filipino, and a resident of
Davao City, Philippines, after being duly sworn in accordance with law hereby depose and say that:
1. I am the holder of a Diploma from University of the Philippines
Mindanao.
2. The abovesaid Diploma was in my possession from the time of their
issue until sometime on May 20, 2018, when I noticed that the abovesaid Diploma was no longer along my personal documents in my house.
3. Notwithstanding diligent efforts exerted to locate them, the same were
not found nor recovered hence considered lost for all intents and purposes.
4. I attest to the truth of the foregoing circumstances and that I am
executing this affidavit to apprise any and all persons of such fact of loss and for whatever other legal purposes this affidavit may serve.
IN WITNESS WHEREOF, I have hereunto affixed my signature this
_______________ at Davao City, Philippines.
DANIELLE G. DIAZ Affiant UMID No. 0111-5089373-9
SUBSCRIBED and sworn to before me, in the City of Davao, this
______________, affiant exhibiting to me his competent evidence of identity first written above below his name. Doc. No. ____ Page No. ____ Book No. ____ Series of 2018.