REPUBLIC OF THE PHILIPPINES )

CITY OF MANDAUE
) S.c.
AFFIDAVIT OF LOSS
I, MARLYN L. MONTERO, of legal age, single, Filipino and a
resident of Sitio Lupa, Highway Maguikay, Mandaue City, after being sworn
to in accordance with law, depose and say that:
1.
I was previously issued a company ID by Profoods
International Incorporated;
2.
pocket;

I used to keep the above-mentioned evidence of identity in my

3.
About 2 October 2014, while I was on my way to my
workplace, I accidentally left or misplaced my ID;
4.
find it;
5.

I tried all efforts to locate the misplaced ID but I was not able to
The said ID is now beyond recovery; and

6.
I am executing this sworn statement, as required, to enable me
to obtain a replacement for the said lost proof of identity.
IN WITNESS WHEREOF, I have hereunto set my hand this 3 rd day of
October 2014, in the City of Mandaue, Philippines.

MARLYN L. MONTERO
Affiant
JURAT
SUBSCRIBED and sworn to before me, this 3 rd day of October 2014,
in the City of Mandaue by the above-mentioned affiant with the following
competent evidence of identity:
Evidence of Identity
ID Number
Validity Date
Voters ID
2230-0534AUp to Present
F0182MLM20000
Doc. No. ___;
Page No. ___;
Book No. ___;
Series of 2014.
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