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Republic of the Philippines)

City of Tagbilaran ) S.S.


x---------------------------x

AFFIDAVIT OF LOSS

I, SHERLITO M. COLUMNAS JR, of legal age, married, Filipino citizen, and a


resident of Cabacungan, Cabilao, Loon, Bohol, Philippines, after being duly sworn to
in accordance with law, depose and state that:

(1) I am a passer of the Real Estate Broker Examination conducted by the


Professional Regulatory Commissionon on March 17, 2013;

(2) Being a licensed Real Estate Broker, I was issued a PRC ID with no. 0015865
by the PRC;

(3) I lost the said PRC ID which is needed for the renewal of my PRC licensed;

(4) Despite diligent search and effort to locate the said PRC ID, the same could
not be found such that I now consider it lost beyond recovery;

(7) As such, I am executing this Affidavit of Loss to attest to the foregoing and for
any legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 10th day of July 2018
in Tagbilaran City.

SHERLITO M. COLUMNAS JR
Affiant

SUBSCRIBED AND SWORNto before me this 10th day of July 2018 in the City of
Tagbilaran, Bohol, Philippines, affiant exhibited to me his Voters ID with VIN: 1230-
0020A-A2390SMC10000.

Doc. No. _____


Page No. _____
Book No. _____
Series of 2018.