Form No.12--(Affidavit of Loss School ID)

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• Category: Philippines Legal Form
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(Affidavit of Loss School ID)

Republic of the Philippines)
Province of ____________________)S.S.
City/Municipality of _____________)
x - - - - - - - - - - - - - x

AFFIDAVIT OF LOSS

I, _____________, Filipino, of legal age, (single / married), and a resident of _____________, after being duly sworn in accordance with law, depose and state:

That as a bona-fide student of _____________, I was issued a Student Identification Card (ID) No. _____________;

That to my surprise, I discovered last _____________ that the said Identification Card could not be found;

As all efforts to find the same proved unrewarding, it is now safe to conclude that recovery of the same is an impossibility;

Thus, I execute this affidavit to establish its loss and to support my application for the issuance of a new Identification Card.

IN WITNESS WHEREOF, I have hereunto set my hand this _____________ at _____________, Philippines.

Affiant

(JURAT)